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Re: Breech From: Dr Eberhard W Lisse (el@lisse.NA) Sat Dec 23 01:38:47 1995 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: MBK80@aol.com: "Re: fetal monitoring--response to Dr. Nagey" Previous message: Geff Klein: "Re: fetal monitoring--response to Dr. Nagey" Maybe in reply to: CheriVH@aol.com: "Breech" Next in thread: John G. M. Robertson MD: "Re: Breech" At 9:17 PM 22/12/95, CheriVH@aol.com wrote: [...] >experience definitely left an impression with me. I will never be able to consider Cesarean section as anything less than major surgery, with all its attendant risks. I most certainly agree. Failed intubation, aspiration of stomach contents? My oh my... >So I envy the doctor on the list who said he had never regretted *doing* a section, but he had regretted *not* doing one. I've seen at least this one which looked like a regrettable situation to me. Sure. But I must agree with the statement above, I do regret the odd vaginal. I discussed this yesterday morning with my colleagues at the meeting, we feel our anesthetics are so safe that we have an option. There was a nice article in the Medical Defense Union's newsletter two years ago (or was it MPS?) "If only a C/S had been done", showing the dangers of sections which had lead to ligitation in the UK. I look at that very seriously. However if you have no anesthetic deaths since 8 years in the hospital, have just below 10% section rate one must look at the APGAR scoring. This is what the regret above means. >In my previous practice my consulting physician did vaginal breech deliveries after sono and x-ray pelvimetry if labor was normal and EFW was >4000 gms. >Parity was not a consideration. Outcomes with this protocol were very favorable. At my current institution vaginal breech delivery is not offered as an option. I do vaginal breeches but just not primips. >It is unfortunate that so many obstetricians are no longer being trained to feel comfortable with vaginal breech delivery. It is a wonderful skill and an option which should be made available as an informed choice for women who might want this type of delivery in preference to an elective surgery. I do quite agree with this. el -- Dr. Eberhard W. Lisse \ / Swakopmund State Hospital <el@lisse.NA> * | Resident Medical Officer Private Bag 5004 \ / +264 64 461503 (pager) 461005 (home) 461004 (fax) Swakopmund, Namibia ;____/ Zone/Domain Contact for the NA-DOM Vice-Chairman, Board of Trustees, Namibian Internet Development Foundation, an Association not for Gain. NAMIDEF is the Namibian Internet Service Provider. Next message: MBK80@aol.com: "Re: fetal monitoring--response to Dr. Nagey" Previous message: Geff Klein: "Re: fetal monitoring--response to Dr. Nagey" Maybe in reply to: CheriVH@aol.com: "Breech" Next in thread: John G. M. Robertson MD: "Re: Breech"

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