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Re: 17 minute rule From: Geffrey H. Klein, MD (gklein@icsi.net) Thu Nov 12 08:34:39 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Porro Emilio: "breech,moxa,bladder 67" Previous message: DoctorJoe@aol.com: "Re: Herb to turn a breech?" In reply to: Ken Turkowski: "17 minute rule" Next in thread: Braun, R. Daniel: "Re: 17 minute rule" At 2:27 AM -0600 on 11/12/98, Ken Turkowski wrote: > What is your opinion on the 17-minute rule, suggested by Flamm, I > believe, in his "Once a CS, always a controversy"? He found that there > was no long-term damage if the fetus was removed from the uterus within > 17 minutes of the onset of bradycardia. How do you think this fits with > ACOG's new guidelines? > > Ken Turkowski > research scientist I believe this was the conclusion of a study at USC. They studied all of their uterine ruptures and determined that if less than 18 minutes elapsed from bradycardia to DELIVERY then serious morbididty was eliminated. My impression is that this in combination with the ACOG guidelines clearly mandates in-house anesthesia, OB, and an OR ready with appropriate personnel in-house to scrub and assist.. Agree? -- Geffrey H. Klein, MD geffrey.klein@obgyn.net 2200 Nasa Rd 1 #200 Houston, Texas 77058 (713) 741 2273 ext 2628 Next message: Porro Emilio: "breech,moxa,bladder 67" Previous message: DoctorJoe@aol.com: "Re: Herb to turn a breech?" In reply to: Ken Turkowski: "17 minute rule" Next in thread: Braun, R. Daniel: "Re: 17 minute rule"

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