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Re: 100 lbs wieght gain, o.p. multip From: Garry E. Siegel, M.D. (garrys@mindspring.com) Fri Oct 19 23:36:47 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 100 lbs wieght gain, o.p. multip" Previous message: Ronald Ainsworth: "Re: 100 lbs wieght gain, o.p. multip" In reply to: Ronald Ainsworth: "Re: 100 lbs wieght gain, o.p. multip" Next in thread: Raymond Stephen: "Re: 100 lbs weight gain, o.p. multip" Reply: Raymond Stephen: "Re: 100 lbs weight gain, o.p. multip" Ron: You are a wise obstetrician from whom we can all learn. I am a big fan of trying manual rotation while pushing when they're low and OP. What are Kiellands? :). Garry At Fri, 19 Oct 2007, Ronald Ainsworth wrote: > >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 >> -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 100 lbs wieght gain, o.p. multip" Previous message: Ronald Ainsworth: "Re: 100 lbs wieght gain, o.p. multip" In reply to: Ronald Ainsworth: "Re: 100 lbs wieght gain, o.p. multip" Next in thread: Raymond Stephen: "Re: 100 lbs weight gain, o.p. multip" Reply: Raymond Stephen: "Re: 100 lbs weight gain, o.p. multip"

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