Re: Obstetrical paracervical block

From: rbraun@iupui.edu
Sat Nov 22 14:18:19 1997


I am so old that I was taught to do PCB's and have performed a lot. But with all the publicity they got in the past, doing one now would be like putting a pregnant lady on Bendectin. No matter what the outcome, if it were bad you should just open your checkbook.

R. Daniel Braun, MD FACOG

On Sat, 22 Nov 1997, Malcolm Griffiths wrote:

> In message <Pine.HPP.3.96.971122084511.19406H-100000@ruby.iupui.edu>,
> rbraun@iupui.edu writes
> >Malcolm and Bernard's responses are interesting. They did not live
> >throught the time period when this was occurring and it is interesting to
> >see their fear and thei gestalt on this procedure.
> >As I said in my earlier response, the studies that were done have shown
> >that the problem was a dose related one. It also was a prolonged
> >deceleration not fetal distress or even a bradycardia. Bradycardia is
> >defined as a BASELINE FHR of less than 110 BPM. See Hon, EH any of his
> >books will do. Also in case somebody doesn't know, the Baseline FHR is
> >defined as : The average FHR over 10 minutes, exclusive of accelerations
> >and decelerations.
> >
> I bow to an older list-member! ;-)
> Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt
> Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK.
> Tel: 01582-497459 (office) Fax: 01582-497376
> 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk
> http://www.obgyn.net/board/griffith.htm
> "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!"
> (Someone [1997])
>





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