-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: 100 lbs wieght gain, o.p. multip From: Richard Kaplan (rkaplan@triad.rr.com) Sat Oct 20 09:13:49 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: 100 lbs wieght gain, o.p. multip" Previous message: art fougner, md: "Re: 100 lbs wieght gain, o.p. multip" Maybe in reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "100 lbs wieght gain, o.p. multip" Next in thread: Betsy Hyde: "Re: 100 lbs wieght gain, o.p. multip" Reply: Betsy Hyde: "Re: 100 lbs wieght gain, o.p. multip" Reply: Raymond Stephen: "Re: 100 lbs weight gain, o.p. multip" Having a size 6 hand, I have had pretty good luck with manual rotation from OP (I haven't used Kiellands since I was a resident). Does anyone who has done this often have any "pearls" on how to determine which way to rotate the head (clockwise or counterclockwise) other than to try one way and then the other if the first attempt fails (e.g. ultrasound or abdominal palpation to determine the relationship of the shoulders to the vertex)? -- Richard Kaplan >----- Original Message ----- From: "Ronald Ainsworth" <ainsron@sbcglobal.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Saturday, October 20, 2007 12:25 AM Subject: Re: 100 lbs wieght gain, o.p. multip > 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 >> > Next message: Betsy Hyde: "Re: 100 lbs wieght gain, o.p. multip" Previous message: art fougner, md: "Re: 100 lbs wieght gain, o.p. multip" Maybe in reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "100 lbs wieght gain, o.p. multip" Next in thread: Betsy Hyde: "Re: 100 lbs wieght gain, o.p. multip" Reply: Betsy Hyde: "Re: 100 lbs wieght gain, o.p. multip" Reply: Raymond Stephen: "Re: 100 lbs weight gain, o.p. multip"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:47:50 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.