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Re: OB: My case list...From: Dr Eberhard W Lisse (el@linux.lisse.na)Sat May 30 03:29:39 1998
Calvin, Geffrey, In message <199805292350.SAA03862@talk.obgyn.net>, Calvin J. Siegers, MD FACOG writes:
>> 28 y/o G3P1A1 at 39 5/7 wks admitted for decreased fetal movement Reading this through the retro-recto-spectroscope:
>> Pt had requested trial of labor and was counseled exensively.
>> Pt had also requested BTL.
>> EFW on admission 3800g.
>> She had been admitted several times in the past 2 weeks with I would have booked her for elective Vaginal Bypass and BTL at 38/40, I would not have allowed trial of scar: 1) She neded to be opened for BTL anyway 2) Previous Cesarean was for failed induction 3) Baby was largish in a functional primipara, we haven't been told andything about the position. Occipito Posterior? Right or Left? 4) PIH to Pre-Ecclampsia, we haven't been told about the FBC and coagulation studies. 5) We are not HMO run, in other words: I CAN :-)-O
>> She had gained 10 # in 2 wks. She was requesting augmentation and I How far was she dilated when you did that or what was the Bishop's score? Not that it matters, just out of interest. [...] Just one more question, how much Oxytocin or Oxytocin/Ergometrin was given at C/S, when exactly, and did you put any Oxitocin in the drip? I have seen two subtotal hysterectomies at C/S myself in 10 years, but a colleague of mine encountered an accreta at C/S (private patient) the other week. She managed to stop the bleeder somehow (but she can't do a hysterectomy), and flew the patient to the capital where she underwent hysterctomy, prolonged stay in ICU, the works. I can do without the aggro, thank you very much :-)-O el
-- Dr. Eberhard W. Lisse\ / Swakopmund State Hospital <el@lisse.NA> * | Resident Medical Officer Private Bag 5004 \ / +264 81 124 6733 (cell) 64 461005(h) 461004(f) Swakopmund, Namibia ;____/ Domain Coordinator for NA-DOM (el108) Vice-Chairman, Board of Trustees, Namibian Internet Development Foundation,
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