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Re: 100 lbs weight gain, o.p. multip From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Mon Oct 22 16:49:46 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: Uterus in or out?" Previous message: Raymond Stephen: "Re: 100 lbs weight gain, o.p. multip" In reply to: Richard Kaplan: "Re: 100 lbs wieght gain, o.p. multip" Next in thread: RModugno@aol.com: "Re: 100 lbs wieght gain, o.p. multip" Kielland's rotation, I think should be the shorter distance. I.e. if it is LOP then counter-clockwise, and clockwise for ROP. If it is direct OP then try one way or the other until it happens. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Kaplan Sent: Sunday, 21 October 2007 1:15 AM To: Multiple recipients of list OB-GYN-L Subject: Re: 100 lbs wieght 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 >> > 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: Uterus in or out?" Previous message: Raymond Stephen: "Re: 100 lbs weight gain, o.p. multip" In reply to: Richard Kaplan: "Re: 100 lbs wieght gain, o.p. multip" Next in thread: RModugno@aol.com: "Re: 100 lbs wieght gain, o.p. multip"

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