Re: "So, what brings you to Houston?"

From: Peter LaFuria M.D. (plafuria@iAmerica.net)
Wed Apr 3 13:48:58 1996


Dito:

If a previous affected baby with an Erbs is not an indication for c-section what is?

I find that unfortunatly there is no gold standard to predict shoulder dystocia, if there were we would be able to eliminate the occurence.

Fetal weight is important but what weight do you use, it varies with the population. I have seen ten pound babies with long necks who deliver fine, and i have seen shoulder dystocia in smaller birth weights.

Having served on several medical review panels for malpractice cases in shoulder dystocia i feel that it is way beyond standard of care to expose the patient and the poor physican to this risk

Pete LaFuria





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