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Re: One/two/four hours of dystocia From: Bernard Cristalli (bcrist@club-internet.fr) Sat Feb 21 15:27:37 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Midnight Breech and Joseph Fletcher" Previous message: Dr Eberhard W Lisse: "Re: Midnight Breech and Joseph Fletcher" Maybe in reply to: Jane Helwig, MD: "One/two/four hours of dystocia" Next in thread: Mgtepstein@aol.com: "Re: One/two/four hours of dystocia" Jane Helwig, MD wrote: > > How do listmembers diagnose arrest of active labor? I find this the most > frustrating aspect of obstetrics and wish I could reduce the number of > c/s I do for this diagnosis. > > for one hour and did not progress, active phase arrest of labor could be diagnosed and c/s > was indicated. =ONE HOUR > > 1. Caesarean delivery until at least two hours of oxytocin augmentation > =TWO HOURS > > 2. Caesarean section be delayed for at least four hours following oxytocin > augmentation in women characterized with active-labor arrest due to > dystocia." =FOUR HOURS -- If the FHR is still normal I would not be anxious to wait more than 2 hours. In a slightly different situation, arrest at complete dilatation, there are 10% more engagement after 2 hours. One apple a day keeps the doctor away... but you have to aim straight. (W.S. Churchill) -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "Re: Midnight Breech and Joseph Fletcher" Previous message: Dr Eberhard W Lisse: "Re: Midnight Breech and Joseph Fletcher" Maybe in reply to: Jane Helwig, MD: "One/two/four hours of dystocia" Next in thread: Mgtepstein@aol.com: "Re: One/two/four hours of dystocia"

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