Re: obstructed labour

From: Glen Elrod (dr99645@yahoo.com)
Sun Dec 30 17:22:31 2007


Thanks Dan. I don't think I have ever heard that before, or at least never put that way.

Glen

>----- Original Message ----
From: R. Daniel Braun <rd.braun@gmail.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Saturday, December 29, 2007 2:46:41 AM Subject: Re: obstructed labour

As a rule in obstetrics. the uterine incision should be PERPENDICULAR to the long axis of the fetal body. In other word, it should be vertical in a transverse lie.

Dan

On Dec 29, 2007 12:45 AM, tirupati seshasai < drseshasai@yahoo.co.in> wrote:

A primi gravid at 41 weeks pregnancy with transverse lie and fetal back is to- words cervix and with leaking membranes with stretch lower segment and distended bladder reported from 100kms with a live fetus on 19Th December 2007. In emergency LS CS when incision of transverse given the child moved her right hand out of incision. As the right arm is out we are unable to push into the uterus the arm.

there is no place to hold the foot as the uterus contracted tightly. with grate difficult we are able to hold the right foot and extracted out and the neonate was delivered.

there was extent ion of the incision and lacerations are repaired, the neonate had much oedema in right arm and by 3days able to move normally the arm.

so as a rule in obstetrics the acoucher has to hold either the head or the limbs of lower extrimity but never the hands,

Save all your chat conversations. Find them online.

--
R. Daniel Braun, MD  FACOG(L)  CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"Science without Religion is LAME; Religion without Science is BLIND"

Einstein 1941

http://www.yahoo.com/r/hs





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