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Re: vacuum of breechFrom: cflynn@BIOMED.MED.YALE.EDUFri Dec 15 05:45:24 1995
On Thu, 14 Dec 1995 mdecker@hcsinc.com wrote:
>has anyone done this in their practice??
>I have judiciously used it to help with decreased forces when the room is obviously there for delivery and the baby is very near the outlet level but mom is so tired/epidural preventing here from pushing the fetus out. I have seen it once. It was in a county where there was only one MD who did vaginal breeches, so he did them with a double set-up and epidural (i.e., anesthesia ready, personnel available for an immediate cesarean, in an O.R., real time ultrasound). The mother was not able to push her baby out in lithotomy, even with an adequate pelvis (G3P2) for this baby, so he called for the section. The mom relaxed and got into more of a semi-sitting position while they were setting up, and lo and behold, there was the breech in plain sight! He slid her back into lithotomy, and the baby wasn't coming, at least not quickly, so he applied the vacuum just to get the breech delivered, and the rest went well. I have a picture of the baby's bright purple labia, but otherwise she did fine. Cynthia Flynn
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