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

From: DoctorJoe@aol.com
Sat Oct 20 10:44:48 2007


In a message dated 10/20/07 10:03:32 AM, RModugno@aol.com writes:

> If I do a section on this type of patient - I usually have an assistant
> push up from below to try to avoid those horrendous extensions of the lower
> uterine segment. Anyone have any pearls for that?
>  
> Had a patient not too long ago where I had someone push up from below and I
> "lost" the head. Baby started to go up the left paracolic gutter, couldn't
> retrieve the head and so had to do a breech extraction to deliver the baby!
> (Ofcourse it was one am.)
>

Reach up above, deliver the feetsies, and pull the baby out as a footling breech through the C/S incision. I've done that a couple of times with great effect/success.

Joe P.





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