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Re: Sometimes breeches are just meant to be born vaginally. From: Dr Eberhard Lisse (el@lisse.NA) Fri May 30 05:51:46 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Sometimes breeches are just meant to be born vaginally." Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Sometimes breeches are just meant to be born vaginally." In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Sometimes breeches are just meant to be born vaginally." Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Sometimes breeches are just meant to be born vaginally." Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Sometimes breeches are just meant to be born vaginally." Reply: Bernard Cristalli: "Re: Sometimes breeches are just meant to be born vaginally." I totally disagree. The golden rule is evidence doesn't lie. And, in Canada for example there just is not difference between vaginal and cesarean deliver wrt maternal mortality. I would also catch a breech if she pushes, but this particular situation is not an example of how to practice safe obstetrics. I have never had issues with dealing with umbilical cords at cesarean breech which I could not resolve immediately. But you can't do that in vaginal delivery, and in prematures the head is more likely to trap the cord. el on 5/30/08 8:30 AM Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. said the following: > At Fri, 30 May 2008, Dr Eberhard W Lisse wrote: >> If we could only know in advance... >> >> If the core had been compromised we would not be so sure any more >> whether the C/S had been necessary... >> >> el >> > And if Mom died from an aspiration,spesis,pulmonary embolus,bleedind... > we would not be sure whether we did a section for an easy Vag breach > delievery. I.E. try and remove as much risk to the baby as possible > and in the process lose Mom. The Golden rule is and always will be Mom > comes first. Moreover you can make a strong arguement that for a 34 wk > frank breach this late in the second stage a c-section may be just as > traumatic to baby if not more so than a vaginal delievery. > > -- > Take care, John > -- Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar) el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell) PO Box 8421 \ / Please do NOT email to this address Bachbrecht, Namibia ;____/ if it is DNS related in ANY way Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Sometimes breeches are just meant to be born vaginally." Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Sometimes breeches are just meant to be born vaginally." In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Sometimes breeches are just meant to be born vaginally." Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Sometimes breeches are just meant to be born vaginally." Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Sometimes breeches are just meant to be born vaginally." Reply: Bernard Cristalli: "Re: Sometimes breeches are just meant to be born vaginally."

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