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Re: EFM From: Richard D. Kaplan (rkaplan@triad.rr.com) Wed Jul 11 16:51:10 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: EFM" Previous message: art fougner, md: "Re: Ovarian Carcinoid" Maybe in reply to: Richard D. Kaplan: "EFM" Next in thread: DoctorJoe@aol.com: "Re: EFM" John, From 5 to complete in 90 minutes, reactive strip in 2nd stage which lasted 30 minutes, spontaneous vaginal delivery. Richard Kaplan >----- Original Message ----- From: "Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C." <johnprov@sympatico.ca> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Wednesday, July 11, 2007 6:05 AM Subject: Re: EFM >I hate scalp PHs and almost never do them, in this case I would insist > on geting one as a requirement to continue labouring the mom; and it > would also help cover everybodies ass so I don't see how anyone would > argue against doing it. If it came back < 7.20 given the mom is a > primip at 5 cm you would have a strong arguement for c-section. If it > came back >= 7.2 it could still mean having to repeat it every 15 min > for the next 4-6 hours. The most stressfull part of labour is the > second stage which could be two hours for this primip. The most > important thing would be how the mom feels about all this, I think its > safe to say the chance's of c-section are at least 50% if after hearing > that the mom says what's the point c-section please then that's what I > would do. Nice to hear everything turned out o.k. , did I miss the > mode of delievery? > > -- > Take care, John > Next message: Joanne Bulley, MD: "Re: EFM" Previous message: art fougner, md: "Re: Ovarian Carcinoid" Maybe in reply to: Richard D. Kaplan: "EFM" Next in thread: DoctorJoe@aol.com: "Re: EFM"

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