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Re: Fwd: To push or not to push. That is the question. From: rmodugno@aol.com Tue Jun 30 17:13:44 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rmodugno@aol.com: "Re: To push or not to push. That is the question." Previous message: rmodugno@aol.com: "Re: To push or not to push. That is the question. And here's another.." In reply to: R. Daniel Braun: "Re: Fwd: To push or not to push. That is the question." All options will be discussed with her. Robert Modugno MD MBA FACOG Sylva, NC -----Original Message----- From: R. Daniel Braun <rd.braun@gmail.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Tue, Jun 30, 2009 9:01 am Subject: Re: Fwd: To push or not to push. That is the question. 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 Next message: rmodugno@aol.com: "Re: To push or not to push. That is the question." Previous message: rmodugno@aol.com: "Re: To push or not to push. That is the question. And here's another.." In reply to: R. Daniel Braun: "Re: Fwd: To push or not to push. That is the question."

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