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Re: STAT Breech!From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Mon Jan 26 11:38:36 2009
At Sun, 25 Jan 2009, 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 Someone should explain the difference to the nursing supervisor the difference between taking an emergency seriously and running like a chicken with your head cut off. A forced c-section here could have easily caused significant morbidity to the mom and no benefit for the baby, I see this about 2-3 times a year, I am probably one of 2 who don't force a c-section if I get there and the baby is not delivered.
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