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Re: Sometimes breeches are just meant to be born vaginally. From: Bernard Cristalli (bcrist@club-internet.fr) Fri May 30 06:21:08 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. Bülent Potur: "Yan: Hope" Previous message: Dr. Bülent Potur: "Re: Sometimes breeches are just meant to be born vaginally." In reply to: Dr Eberhard Lisse: "Re: Sometimes breeches are just meant to be born vaginally." Next in thread: Dr Eberhard W Lisse: "Re: Sometimes breeches are just meant to be born vaginally." Reply: Dr Eberhard W Lisse: "Re: Sometimes breeches are just meant to be born vaginally." Safe obstetrics, for women and for kids as well as for doctors is to forbid pregnancy. That's the only way to avoid pregnancy and delivery complications. But if you carry on delivering babies, there's no evidence so far a CS is better for the kid than a VD. Vaginal breeches have thousand years of experience and C-sections only a few decades. Complications are on their way. Just have to wait. A useless operation is always more dangerous than nothing. Being used to perform C-section for every breech you see is a point, but saying it's the only way to do is untrue. Bernard Dr Eberhard Lisse a écrit : > 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 >> > Next message: Dr. Bülent Potur: "Yan: Hope" Previous message: Dr. Bülent Potur: "Re: Sometimes breeches are just meant to be born vaginally." In reply to: Dr Eberhard Lisse: "Re: Sometimes breeches are just meant to be born vaginally." Next in thread: Dr Eberhard W Lisse: "Re: Sometimes breeches are just meant to be born vaginally." Reply: Dr Eberhard W Lisse: "Re: Sometimes breeches are just meant to be born vaginally."

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