Re: STAT Breech!

From: Andrew Folley (agfolley@hotmail.com)
Mon Jan 26 10:10:24 2009


Scenario is not uncommon. the last generation of OBs (>65 yo) would simply have delivered vaginal. Our generation (35-65) would at seriously consider delivering vaginal. The "present generation" (new grads to 35) perhaps have seen one vaginal breech in 4 years of residency and are left with no option other than emergency c-section. agf

> Date: Sun, 25 Jan 2009 22:53:36 -0600
> From: el@lisse.na
> To: ob-gyn-l@mail.obgyn.net
> Subject: Re: STAT Breech!
>
> So, she arrived unbooked, fully dilated and buttocks on perineum and
> they
> phoned you within seconds of her arrival in Maternity?
>
> Tell us more :-)-O
>
> el
>
> On 26 Jan 2009, at 05:50 , ND84MD@aol.com wrote:
>
> > Got this stat page this morning, 0400. G5P4 with prior largest baby
> > 9lbs,
> > presented with buttocks at the introitus. nurse told me they were
> > getting ready
> > for a stat c/s and I needed to get there ASAP.
> > I told them that as long as no one touched, pulled, manipulated or
> > in any way
> > harassed this patient she would deliver just fine and likely prior
> > to my
> > arrival.
> > on my way in i get another page; this time from the nursing supervisor
> > wanting to know why i wasn't taking this "emergency" more seriously.
> > amazing. we deliver an average of 2800 babies a year and the only
> > person on
> > the labor floor who has seen a term breach was one of the midwives
> > from
> > Scotland.
> > i guess the breech delivery truly is a lost art.
> > baby delivered just fine within ten minutes of the first page; 8lbs
> > 12 oz.
> >
> > CJ Stanley, MD,
> > Ormond Beach, FL
>

12009





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