Re: Sometimes breeches are just meant to be born vaginally.

From: Dr Eberhard W Lisse (el@lisse.na)
Fri May 30 10:37:16 2008


John,

I know that. It just proves my point even more.

Never mind the spinal :-)-O

el

On May 30, 2008, at 12:14, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote:

> At Fri, 30 May 2008, Dr Eberhard Lisse wrote:
>>
>> 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:
>
> Sorry El there was no difference only for a small segment in time in
> the
> Provence of British Colombia. El , you have to know when you are
> comaparing apples to apples. I am 100 % certain that the morbdity and
> mortality of a Vaginal birth in a Mom with a BMI of 46 is much less
> than
> an emergency C-section
> with general anesthetic in this Mom who just had breakfast. There are
> lies,dam lies and then there are statistics. The Golden rule is not
> open to interpretation. A dead Mom can not have any more babies, a
> mom
> with a dead or handicaped baby can sue you and also have more babies.
>
> --
> Take care, John
>





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Tue Sep 2 05:13:11 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.