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Re: 100 lbs wieght gain, o.p. multipFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Fri Oct 19 23:05:38 2007
At Fri, 19 Oct 2007, AllanHo@aol.com wrote: > >Some people would let her try pushing at 9cm. Actual the nurses tried that for about 1/2 hr untill I pointed out she was only 8-9, if she was o.a. you get away with it 9/10 times in a multip, o.p. big baby you are looking at a set up for shoulder dystocia , or if she pushes it out O.P. 3rd or 4th degree tear that takes longer than a c-section to repair. Being a multip and having a perisist rim or anterior lip in O.P. is a warning sign not to be taken lightly, especially if 3hours of augmentaion don't make it go away. Ofcourse the c-section may not be a cake walk either.
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Take care, John
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