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25 weeks, transverse lie, prom > CS From: Hellriegel, John (jhellrie@ubmedd.buffalo.edu) Fri May 17 21:03:26 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Hellriegel, John: "Lichen Sclerosus Rx" Previous message: fuf@gulf.net: "Another ovarian cyst in pregnancy" "re 25 weeks, transverse lie, prom, arm presentation, FHR = 80 I would start with general anesthesia, then if she is almost fully dilated - internal podalic version, total breech extraction else, cesarean delivery." I would opt for a stat CS. Fear to great a potential for trauma associated with internal podalic version and breech extraction in a 25 weeker. If you do not have a high tech. ICN across the hall from L&D as I do, these heroics may be futile. Agree with David Nagey that mortality is 40 to 60%. Am also concerned with long term morbidity which by my experience and observation exceeds 60%. Does anyone have 5 year follow-up on these kids (fuctional as well as medical)? John Hellriegel jhellrie@ubmedd.buffalo.edu Next message: Hellriegel, John: "Lichen Sclerosus Rx" Previous message: fuf@gulf.net: "Another ovarian cyst in pregnancy"

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