Re: breech in nulipara

From: John Robertson (jgmr@unixg.ubc.ca)
Mon Dec 2 18:13:11 1996


I and my partners would offer this patient a trial of labour if: 1) it was a frank or complete breech 2) the baby was not overly large (>4000g) (I am not going to get into the debate about u/s measurements and accuracy, because most of the time the baby is within 4000g even including the error) 3) the head was flexed

We would do the delivery in the "High risk" room, and be ready to do a C/S if necessary. Mary Hannah and company (in Toronto) are planning a multicentre study to look at vaginal delivery of breechs starting some time in the new year. I suspect in our centre that it will mean more breeches get a C/S than usual.

J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C., Canada, V2P 3M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894)

--
----------
> From: Sing-Hung Chang <changl@cariari.ucr.ac.cr>
> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
> Subject: breech in nulipara
> Date: Monday, December 02, 1996 4:06 PM
>
> Hi ! Seasons greetings to everyone!! :)
>
> How do you manage a nullipara with a breech presentation at term?




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