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Re: fatal shoulder dystociaFrom: LMontgomery (lmontgomery@communitymed.org)Thu Dec 24 10:48:24 1998
I agree Stewart, you certainly don't have anything to feel guilty about, but I'm sure you feel bad none-the -less. The thing that concerns me is the fact that despite the baby being delivered in 6.5 minutes, the baby was not able to be resusitated. Granted, the baby had reason to be profoundly acidotic, but a baby with a acute hypoxic event is usually able to be resusitated. Sometimes it might be better if they didn't rebound as well-if the insult results in neurologic impairment. In this regard, what did the tracing look like prior to delivery. Second and not very likely, but you might want to consider checking karyotype. If this case has a medico-legal potential and if there is an aneuploidy, it could be a life-saver. I only suggest this because of the inability to resusitate-was the infant predisposed. Lynn Lynn D. Montgomery, M.D. Director, Maternal-Fetal Medicine Rocky Mountain Perinatal Center 2825 Fort Missoula Rd., Suite 130 Missoula, Montana 406-327-4094 Fax: 406-327-4154
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