Fwd: To push or not to push. That is the question.

From: rmodugno@aol.com
Mon Jun 29 17:58:29 2009


-----Original Message----- From: rmodugno@aol.com To: ob-gyn-l@ob-gyn.net Sent: Mon, Jun 29, 2009 3:44 pm Subject: To push or not to push. That is the question.

24 year old P0G1 - 21 weeks.Gives history of eye surgery in Ukaraine at age 14 Details are not available.Was told at the time not to be involved in anything that might involve jumping, horse back riding or "giving birth naturally", presumably due to stresses/strain within the eye due to her high myopia- this info from her local opthalmologist. At present retinal exam is normal.He advised: that "normal' physical activity should not cause any particular risk other  than the fact of her high myopia and increased risk of retinal detachment. Ofcourse he does not give any recommendations regarding delivery.

 

She wants to know whether she should have an elective cesarean section. What would YOU cyberobs do?

 

Robert Modugno MD MBA FACOG

Sylva, NC

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