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

From: Ronald Ainsworth (ainsron@sbcglobal.net)
Fri Oct 19 23:23:22 2007


Had one like that last night. First baby was 6# 7oz. I induced her this time at 40wk 2d, amniotomy. She moved steadily to complete, but the nurse didn't wake me up until 1:30AM when she had been pushing for 1-1/2 hours and was getting fatigued. When I checked her she was obviously OP at +3 and the anterior vaginal wall was coming down in front of the head, but she was complete. First attempt to manually rotate was unsuccessful, tried again in the opposite direction and it rotated and delivered in the next two pushes. No shoulder dystocia, but this one was 10# even, 3-1/3# bigger than her first. She could never had it posterior, I was fortunate to rotate it. Garry would probably have put on Kiellands. I would have 15 years ago.

Ron --- "Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C." <johnprov@sympatico.ca> 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
>





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