fetal PAC's

From: Charlie Chambers (ricechaz@me.com)
Fri Apr 24 08:59:53 2009


>From nobody@medispecialty.com Fri Apr 24 08:59:50 2009
Received: (from nobody@localhost) by mail.obgyn.net (8.11.6/8.11.6/dsb-1.1) id n3ODxo817260 for OB-GYN-L@OBGYN.net; Fri, 24 Apr 2009 08:59:50 -0500 Message-Id: <200904241359.n3ODxo817260@mail.obgyn.net> Date: Fri, 24 Apr 2009 08:59:50 -0500 (CDT) Errors-To: postmaster@medispecialty.com Reply-To: evsono@pipeline.com From: evsono@pipeline.com (art fougner, md) To: OB-GYN-L@OBGYN.net In-Reply-To: <SNT108-W77BDE244FD9C4A3F69ECE3DC720@phx.gbl> X-Original-Sender: @ 140.239.228.50 Subject: Re: BPP 2 and reassuring tracing

And the flip side? Reassuring tracing, lousy apgars and Law Suit.

Art

At Thu, 23 Apr 2009, Andrew Folley wrote: >
>Sounds like respiratory acidosis. Depends on the base excess level and PCO2 . Sudden change in tracing and emergency c-section with good apgars and low pH suggest respiratory acidosis???
>
>> Date: Wed, 22 Apr 2009 20:59:48 -0500
>> From: rmodugno@aol.com
>> To: ob-gyn-l@mail.obgyn.net
>> Subject: Re: BPP 2 and reassuring tracing
>>
>> -----Original Message-----
>> From: Glen Elrod <dr99645@yahoo.com>
>> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
>> Sent: Wed, 22 Apr 2009 2:26 pm
>> Subject: Re: BPP 2 and reassuring tracing
>>
>> -----Original Message-----
>> From: Glen Elrod <dr99645@yahoo.com>
>> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
>> Sent: Wed, 22 Apr 2009 2:26 pm
>> Subject: Re: BPP 2 and reassuring tracing
>>
>> I had this exact scenario with a labor nurse pt not too long ago. Only
>> points were for AFI. Sent to L&D and tracing was reactive on admission
>> (hadn't been in the office). Pt had labor stimulated (didn't
>> necessarily want pit so we used the breast pumps) and she managed to
>> progress to 8cm before all hell broke loose on the strip and then at
>> section Apgars were 8/9. Cord ph was 7.2. Go figure.
>>
>> Glen
>>
>> *********************************************
>> Hey Glen=2C three questions:
>>=20

>
>> 1) what category is "all hell broke loose" ? 2) What was the patient's
>> objection to pitocin? and 3) how would you control hyperstimulation
>> secondary to a breast pump?
>>
>> Robert Modugno MD MBA FACOG
>> Sylva, NC
>>
>Mobile2_042009

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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