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Re: C-Section ratesFrom: bclaure (bclaure@club-internet.fr)Sun Dec 15 09:22:32 1996
douglas krell wrote: > > Mark. > > At 17% we've considered our section rates to be acceptable, although one > of the older OB/GYN's who for many years delivered babies by saddle > block and low outlet forceps had a rate that was 7-8% consistantly. He > delivered many breeeches from below and also performed many mid-forcep > and mid-forcep rotations for persistant occiput posterior positions of > the vertex. How many mid-forcep deliveries do you do. Are you doing > many Scanzoni maneuvers for persistant OP? My CS rate is 8%. Midforceps is a quite usual procedure to me, with or without rotation. I don't do much of vertex versions except when the pelvis is supposed to be just enough. However in primiparas version is not easy and doesn't work well. I use to compare the biparietal diameter of the fetus with the pelvis using the Magnin diagram. The vaginal route is accepted if in the upper part of the diagram, CS intsead. BTW what is Scanzoni maneuver? Bernard Cristalli MD CNGOF Paris - France
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