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Re: breech in nuliparaFrom: bclaure (bclaure@club-internet.fr)Mon Dec 9 16:02:22 1996
> > It is well-recognised that epidurals are associated with an increased risk of delay in second stage of labour. If delay occurs with cephalic presentation we try all or some of the following: wait longer augment with oxytocin/syntocinon/pitocinon pull on the babe with forceps/ventouse There is a general reluctance ( to varying degrees ) try try all or some of the above with breeches. Therefore if epidurals lead to second stage delay tehn there must be a corresponding increased risk of CS at full dilatation - unless you are even more posotive about either of these interventions with breeches than I am. Epidurals in labour are very good for pain-relief. I restrict their use in breeches to women who feel they need them for pain-relief. > God knows how conservative french ob/gyn can be, but on that subject they now agree that advantages win on disadvantages about epidural for breeches. The studies about the length of the second stage of labour and the CS rate are mainly retrospective and can't be reliable. Bernard Cristalli MD CNGOF Paris - France
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