Re: Coccyx fractures

From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Jun 2 14:14:32 1998


Jane Helwig, MD wrote: >
> Yesterday a new OB patient transferred in. After her first delivery
> (spontaneous vaginal delivery, 8lb 1oz, no forceps) somewhere else, she
> had severe coccygeal pain for months, which is sometimes still present.
> She never got x-ray or ortho evaluation at the time, says her doctor
> told her he'd never heard of coccyx fracture after SVD.
>
> She is concerned about the same thing happening with her second
> delivery. The doctor who saw her earlier in this pregnancy (not the one
> who did the first delivery) told her it was likely to happen again.
>
> Does anyone have ideas on minimizing this patient's risk for recurrent
> coccyx fracture/pain? She really doesn't want a c/s.
>
--

I've seen it two or three times in SVD. The only way you can try to minimize the risk is to avoid a big baby and perhaps to favour head flexion (vacuum?). IMHO

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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