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Re: "So, what brings you to Houston?" From: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU) Wed Apr 3 14:38:51 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geff Klein: "Laryngeal Carcinoma and Pregnant" Previous message: Ruggi002@aol.com: "Re: Admission CTG (NST)" Maybe in reply to: Geff Klein: ""So, what brings you to Houston?"" Next in thread: Katherine Lorand: "Re: Admission CTG (NST)" Reply: Katherine Lorand: "Re: Admission CTG (NST)" Could we inject a little more literature into our discussion at this point ?? As far as I am aware, the only article on the subject of recurrence rate of shoulder dystocia in the literature is the article by Baskett and Allen. "Perinatal Implications of Shoulder Dystocia" Obstet & Gynecol 1995;86:14-17. They reviewed 254 cases of shoulder dystocia occurring over a 10 year period in Halifax N.S. (A lovely place to visit in the summer.) Among these patient there were 80 women who had 93 vaginal deliveries after the index case where shoulder dystocia occurred. There was only one recurrence of shoulder dystocia. -- @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ R.Daniel Braun,MD "All men are created unequal" Clinical Professor Indiana U. School of Medicine Lazarus Long @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ >>> Peter LaFuria M.D. <plafuria@iAmerica.net> 04/03/96 03:11pm >>> 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 Next message: Geff Klein: "Laryngeal Carcinoma and Pregnant" Previous message: Ruggi002@aol.com: "Re: Admission CTG (NST)" Maybe in reply to: Geff Klein: ""So, what brings you to Houston?"" Next in thread: Katherine Lorand: "Re: Admission CTG (NST)" Reply: Katherine Lorand: "Re: Admission CTG (NST)"

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