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Re: 100 lbs weight gain, o.p. multip From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Mon Oct 22 16:46:31 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: 100 lbs weight gain, o.p. multip" Previous message: ainsron: "Re: Complex hyperplasia in a polyp" In reply to: Garry E. Siegel, M.D.: "Re: 100 lbs wieght gain, o.p. multip" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 100 lbs wieght gain, o.p. multip" In all my 35 or so years in obstetrics I only succeeded twice with a manual rotation but have had countless successful Kielland's rotations. The manual rotation seems to require disempacting the head out of the brim, which I think is why I fail as, if they are high enough to disempact I don't even think of a vaginal delivery, and simply prepare the theatre! Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Saturday, 20 October 2007 3:38 PM To: Multiple recipients of list OB-GYN-L Subject: Re: 100 lbs wieght 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 CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: Raymond Stephen: "Re: 100 lbs weight gain, o.p. multip" Previous message: ainsron: "Re: Complex hyperplasia in a polyp" In reply to: Garry E. Siegel, M.D.: "Re: 100 lbs wieght gain, o.p. multip" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 100 lbs wieght gain, o.p. multip"

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