Re: Ob: Advanced dilatation/footling
From: Efrain Ramirez (eramirezt@coqui.net)
Wed Feb 28 15:36:06 2007
By C/S - - I don't where the debate is - you can answer any obstetric
situation with two basic questions - is the fetus/mother better inside
or outside (that answers when) - how do I get the fetus out - up or
down? - here the when is obvious - the how is also, IMHO, a no
brainer???
Ef
> At Wed, 28 Feb 2007, Myer Bornstein wrote:
>
>Deliver deliver deliver
>
>Myer
>
> _____
>
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel
>Braun
>Sent: Wednesday, February 28, 2007 4:37 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Ob: Advanced dilatation/footling
>
>Off to the "Horsepistol" for surgery.
>
>Dan
>
>On 2/28/07, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote:
>
>Joe and Dan:
>
>140-ish/85 to 90-ish from the first visit.
>
>If it is not chronic, what is it? The BP started this ball rolling, but
>the real issue is when to do the section.
>
>I posted this to "test the waters" about how urgent listers felt the
>section was--ranging from John, who is ready to admit her, to Joe and
>Dan, who did not specify as of yet.
>
>Let me add more. It is 5 PM when I am seeing her, and her husband is in
>Houston, TX.
>
>What's next?
>
>Garry
>
>At Wed, 28 Feb 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
>wrote:
>>
>>At Tue, 27 Feb 2007, Garry E. Siegel, M.D. wrote:
>>>
>>>26 YO P0000 at 36w4d, good dates.
>>>
>>>Today, had BP 145/90--reviewing prenatals, probably is a chronic
>>>hypertensive, never diagnosed, as opposed to PIH. Due to BP, I
>>>contemplated lab/BPP/bedrest/admission?/deivery, so I checked her
>>>cervix.
>>>
>>>No PIH symptoms, edema 2+, no proteinuria or excessive gain (she is
>>>250#, give or take).
>>>
>>>She as 4/100%/bulging bag/footling.
>>>
>>>BPP 8/8, AFI 28.
>>>
>>>What's next?
>>>
>>>Garry
>>>
>>>--
>>>Garry E. Siegel, M.D .
>>>Private Practice
>>>Roswell, GA
>>>
>>She is term in three days, book the section. It never ceases to amaze
>>me how many mom's with footling breachs or transvers lies have not be
>>told to go to the hospital right away if thier membranes rupture.
>>
>>--
>> Take care, John
>>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>
>--
>R. Daniel Braun, MD FACOG(L) CMT
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage everyday".
>
> Hippocrates
>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
