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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 23:49:47 2007
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 When they actually get fully dilated its a little reassuring to me, I have no problem trying a manual rotation with a rim or anterior lip, which I tried here but never got it past 45 degress either direction and kept going back to O.P.. If my patient would have gotten to fully I may even have tried a scanzonni in the section room.
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Take care, John
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