Re: obstructed labour
From: FRANCES WREN (fwren@shaw.ca)
Mon Dec 31 09:41:31 2007
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I have never heard of that either, and so far I have done transverse incisions regardless of fetal lie...no problems so far...although i have sometimes had to curve the incision a little more
frances wren
>----- Original Message -----
From: Glen Elrod <dr99645@yahoo.com>
Date: Sunday, December 30, 2007 5:23 pm
Subject: Re: obstructed labour
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> 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
>
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<DIV>I have never heard of that either, and so far I have done transverse incisions regardless of fetal lie...no problems so far...although i have sometimes had to curve the incision a little more</DIV>
><DIV>frances wren<BR><BR>----- Original Message -----<BR>From: Glen Elrod <dr99645@yahoo.com><BR>Date: Sunday, December 30, 2007 5:23 pm<BR>Subject: Re: obstructed labour<BR>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net><BR><BR>> Thanks Dan. I don't think I have ever heard that before, <BR>> or at least never put that way.<BR>> <BR>> Glen
><BR>> <BR>> ----- Original Message ----<BR>> From: R. Daniel Braun <rd.braun@gmail.com><BR>> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net><BR>> Sent: Saturday, December 29, 2007 2:46:41 AM<BR>> Subject: Re: obstructed labour<BR>> <BR>> <BR>> As a rule in obstetrics. the uterine incision should be <BR>> PERPENDICULAR to the long axis of the fetal body. In other word, <BR>> it should be vertical in a transverse lie.<BR>> <BR>> Dan<BR>> <BR>> On Dec 29, 2007 12:45 AM, tirupati seshasai <<BR>> drseshasai@yahoo.co.in> wrote:<BR>> <BR>> A primi gravid at 41 weeks pregnancy with transverse lie and <BR>> fetal back is to- words cervix and with leaking membranes <BR>> with stretch lower segment and distended bladder reported from <BR>> 100kms with a live fetus on 19Th December 2007. In <BR>> emergency LS CS when incision of transverse given the <BR>> child moved her right hand out of incision. As the right arm is <BR>> out we are unable to push into the uterus the arm.<BR>> <BR>> there is no place to hold the foot as the uterus <BR>> contracted tightly.
; with grate difficult we are able to hold the <BR>> right foot and extracted out and the neonate was delivered.<BR>> <BR>> there was extent ion of the incision and lacerations are <BR>> repaired, the neonate had much oedema in right arm and by <BR>> 3days able to move normally the arm.<BR>> <BR>> <BR>> so as a rule in obstetrics the acoucher has to hold either <BR>> the head or the limbs of lower extrimity but never the hands,<BR>> <BR>> <BR>> <BR>> <BR>> <BR>> <BR>> Save all your chat conversations. Find them online.<BR>> <BR>> <BR>> <BR>> <BR>> -- <BR>> R. Daniel Braun, MD FACOG(L) CMT<BR>> Professor Emeritus<BR>> Dept. of Obstetrics and Gynecology<BR>> Indiana U. School of Medicine<BR>> <BR>> <BR>> R. Daniel Braun<BR>> <BR>> "Science without Religion <BR>> is LAME; Religion without Science is BLIND"<BR>> <BR>> &
;nbsp; Einstein 1941<BR>> <BR>> <BR>> <BR>> <BR>> <BR>> <BR>> <BR>> ____________________________________Never miss a thing. Make Yahoo your home page. <BR>> http://www.yahoo.com/r/hs</DIV>
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