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Re: Back Down Transverse Lie IUFD 47+21..at term From: Paul Prior MD (pprior@earthlink.net) Mon Aug 31 19:47:59 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: BabcockDeb@aol.com: "Re: FRI niddah" Previous message: brent.bailey@mosby.com: "The American Journal of Obstetrics and Gynecology, 8/98" In reply to: JD Stewart, MD : "Back Down Transverse Lie IUFD 47+21..at term" On Mon, 31 Aug 1998 16:37:34 -0500, you wrote: >Not a good thing. Fetus died within last week, EFW 3500-4000g, Waters >intact, but oligo..Any enthusiasm for amnioinfusion in an attempt to >turn baby to a longitudinal lie? The cervix is closed, so this may need >trans-abdominal approach. No previa. Would like to avoid classical >C/S... I have been the unwilling recipient of several back down transverse lies in residency and already had one since I've been out in practice a month now. One of my least favorite things :( I have managed to deliver a couple by conversion to breech extraction and one to vertex by making a lower segment incision and then rotating baby. The biggest problem with this is that sometimes you are limited by fear of harming baby either by direct trauma or by delay in delivery. I would think with a dead fetus you could be much more successful in this regard. Having said this I would strongly consider an attempt at external version (with epidural) and then induction if you can achieve either breech or vertex presentation - do an amnioinfusion if unsuccessful. Interesting case. Please give us followup on outcome. -- Paul Prior MD pprior@dragg.net Don't Blame Me... Ashland, KY USA I Voted For Bob Dole ----Doing my part for the Vast Right Wing Conspiracy---- Next message: BabcockDeb@aol.com: "Re: FRI niddah" Previous message: brent.bailey@mosby.com: "The American Journal of Obstetrics and Gynecology, 8/98" In reply to: JD Stewart, MD : "Back Down Transverse Lie IUFD 47+21..at term"

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