Re: OB: My case list...

From: Dr Eberhard W Lisse (el@linux.lisse.na)
Sat May 30 14:31:58 1998


Geffrey,

In message <v03007800b195f8477e2f@[208.2.63.95]>, "Geffrey H. Klein, MD" writes: > On 5/30/98, Dr Eberhard W Lisse wrote this:
>
> 1) L-scope BTL or pp BTL are less morbid than elective repeat cesarean

L-Scope BTL you don't do post partum, right?

> 2) True... But still had a chance to deliver vaginally.. by some
> research 50% at worst.

50% of previous C/S deliver vaginally in my hospital too, but in this combination I'd never even thought about it.

> 4) sorry, FBC is unfamiliar abbreviation to me.. all of her
> biochemical parameters regarding renal, hematologic, and hepatic
> function were normal..

FBC is Full Blood Count

> 5) For me it is not a matter of payer, but rather patient choice.
> It would be not be unreasonable for either approach depending on
> patient desire.

Sure, but I don't have this eye peeping over my shoulder continously how much money is spent on my patients. It does make a difference subsconsciously.

> Per the anesthesia protocol 20 U pitocin is added to 1 liter of
> crystalloid and infused intravenously after the birth of the baby.

I think it should be the obstetrician dictating this.

I use 5 units of Oxytocin ivi when the baby is out, with or without 0.5 mg ergometrine plus 20 units of Oxytocin in the drip, no matter how much is left, and 20 units in each vaculitre of cristalloid.

And in most cases I ask for another shot of oxymetrin before I close her up unless the uterus is rock hard.

el





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