Re: Ob: What would you do

From: frances wren (fwren@shaw.ca)
Wed Jun 6 12:07:43 2007


At Fri, 1 Jun 2007, Garry E. Siegel, M.D. wrote: >
>Hubby going abroad--wouldn't normally do it either.
>
>Garry
>
>At Fri, 1 Jun 2007, Betsy Hyde wrote:
>>
>>I'd put in an IUPC.
>>We would not do social inductions at 38 weeks.
>>
>>--
>>Betsy Hyde CNM
>>Branford, CT
>>
>>On Jun 1, 2007, at 11:11 PM, Garry E. Siegel, M.D. wrote:
>>
>>> 29 YO P1001 at 38w admitted by CNM for induction in early AM as her
>>> husband was going overseas. Her pregnancy has been uncomplicated.
>>>
>>> Admitted in AM 1/5/50/-2, Pitocin begun and AROM around 1300.
>>>
>>> At 1530 CNM calls--arm in vagina.
>>>
>>> On my exam, 5-6/50 vtx/arm past elbow in vagina, easily reduced.
>>>
>>> Pit resumed, patient sat up.
>>>
>>> Cx. at 1750 7/80/-2 reasonably applied to cervix, and unchanged two
>>> hours later. The hand is gone, EFW 2900g.
>>>
>>> What's next?
>>>
>>> Garry
>>>
>>> --
>>> Garry E. Siegel, M.D.
>>> Private Practice
>>> Roswell, GA
>>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
I might depending on the circumstances...including social circumstances induce..PV cytotec maybe at 38 weeks.




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