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Re: Version attempt or not?From: Ari Gold (arig@getnet.com)Sat Feb 7 09:05:54 1998
.>>At Fri, 06 Feb 1998, John Robertson M.D. wrote: >>> >>>This questions is in regards to a G2P1 whom at 37 weeks has just had an >>>US with an EFW of 10lbs breech.(Good fluid index, baby turned breech >>>this week) Pts last baby was born vaginally 8lbs 14ozs, no molding >>>whatsoever on the head. I would like to know the consensus on version >>>attempt for this patient. >>. I would definately recommend that you attempt a version for this woman. My experience is not nearly as bleak as many of the other posts I've seen on this topic. No flames please-I once worked with a woman who was 5'9, 325 lbs G10P9. At 41 weeks her baby was breech, it had previously been cephalic. I arranged for my consultant to attempt an ECV in the hospital. She was palaced on an IV, given terbutaline, and he attempted the version. A scan showed it was unsuccessful the 1st time. He tried again, thought he was unsuccessful, but an immediate scan showed the baby was cephalic. Needless to say, it was difficult to tell on a woman this size. Of course her high parity made it much easier to turn this baby. I saw her immediately afterward and stripped her membranes. Six hours later I delivered her 12 pound 4 ounce baby at home after a two hour labor, with no problems. Ingrid Gold, CNM, Phoenix arig@getnet.com
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