Re: 100 lbs wieght gain, o.p. multip

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Oct 19 22:19:20 2007


At Fri, 19 Oct 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>27 y.o. G2 P1 preious low forceps at 38 weeks baby was only 6lbs 9 oz;
>Induced today at 39weeks B.P. 150/100 got to 8-9 cm but o.p. and
>cervix does not want to go away for 2hrs despite augment going to give
>it 1 more hour and call it a day, 100lb wieght gain is a concern.
>
>--
> Take care, John
>

Allan:

>Some people would let her try pushing at 9cm.

OP, and persistent cervix over 2 hours despite Pitocin is pessimistic for vaginal delivery. If she becomes fully dilated, and is OP with a big baby (100 pounds gained), do you really want to do an operative vaginal delivery?

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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