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Re: Ob: Advanced dilatation/footlingFrom: Barbara Nicol (blnicol@ix.netcom.com)Wed Feb 28 10:09:45 2007
Why is her AFI 28? I'd like to get her delivered the same night - indeed, I think you have little choice with the bulging bag and 100% effacement - but I'm wondering now about undiagnosed GDM to match the undiagnosed chronic HTN, and pulmonary immaturity. Wouldn't wait for the partner to arrive from out of state - stuff happens sometimes. I think, however, the chances for this child are better in the nursery. Did you consider doing an ECV in the OR prior to doing the incision? If you succeed, you've prevented a CS, and if you cause ROM, you're right there, ready to get the baby out quickly. With such a generous AFI, success is possible. Of course, the patient's obesity means that ECV may be technically difficult, and you may not have wanted to try for that reason. Interested to find out the result... - Barb Nicol, M.D. San Francisco
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