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Re: STAT Breech!From: vnellsch (vnellsch@eastex.net)Mon Jan 26 17:28:47 2009
probably the only way to answer the page and not get everyone wrought up would be to say " i will be there shortly, have the o.r. crew and anesthetist stand by for a possible stat cesarean." because i will tell you this, that nursing supervisor and the folks who had already decided what you needed to do, will never forgive you for being right. they will get you, for something, sometime, maybe after you have already forgotten this little fracas. verner nellsch, md. private practice near houston, texas
> ----- Original Message ----- 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
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