Re: To push or not to push. That is the question. And here's another..
From: JD Stewart,MD (jdstewartmfmob@hotmail.com)
Tue Jun 30 10:15:29 2009
Good place for informed consent and a patient choice in the matter. Her
vision will likely get worse as a matter of time no matter what happens;
and there is no risk free method to be born...so risk, benefit as we
would do for any elective first delivery c/s....and let her make the
call.
What would you do if, despite the warnings, she insisted on "going
natural?"
At Tue, 30 Jun 2009, R. Daniel Braun wrote:
>
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>I concur.Dan
>
>On Tue, Jun 30, 2009 at 12:47 AM, Bernard Cristalli <bcrist@club-internet.fr
>> wrote:
>
>> Instead of an elective CS, epidural and forceps.
>> Bernard
>>
>> rmodugno@aol.com a écrit :
>>
>>> -----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
>>>
>>> Save energy, paper and money -- get the Green Toolbar.
>>>
>--
>
>--
>R. Daniel Braun, MD FACOG(L) ABMP CMTh #20900069
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
> “Science without Religion is LAME; Religion without Science is BLIND"
> Einstein 1941
>
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>I concur.<div>Dan<br><br><div class="gmail_quote">On Tue, Jun 30, 2009 at 12:47 AM, Bernard Cristalli <span dir="ltr"><<a href="mailto:bcrist@club-internet.fr">bcrist@club-internet.fr</a>></span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex;">
>Instead of an elective CS, epidural and forceps.<br>
>Bernard<br>
><br>
><a href="mailto:rmodugno@aol.com" target="_blank">rmodugno@aol.com</a> a écrit :<br>
><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><div class="im">
><br>
>-----Original Message-----<br>
>From: <a href="mailto:rmodugno@aol.com" target="_blank">rmodugno@aol.com</a><br>
>To: <a href="mailto:ob-gyn-l@ob-gyn.net" target="_blank">ob-gyn-l@ob-gyn.net</a><br>
>Sent: Mon, Jun 29, 2009 3:44 pm<br>
>Subject: To push or not to push. That is the question.<br>
><br></div><div class="im">
>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.<br>
>
><br>
> <br>
><br>
>She wants to know whether she should have an elective cesarean section. What would YOU cyberobs do?<br>
><br>
> <br>
><br></div><div class="im">
>Robert Modugno MD MBA FACOG<br>
><br>
>Sylva, NC<br>
><br>
>Save energy, paper and money -- get the Green Toolbar.<br>
><br>
></div></blockquote>
><br>
></blockquote></div><br>
>FACOG(L) ABMP CMTh #20900069<br>Professor Emeritus<br>Dept. of Obstetrics and Gynecology<br>Indiana U. School of Medicine<br><br><br>R. Daniel Braun<br>
><br> “Science without Religion is LAME; Religion without Science is BLIND"<br> Einstein 1941<br>
></div>
>
>--0016368e1b118d8f9a046d90633f--
>
--
JD Stewart, MD
MFM up all night, every night
10 years later..
