PREGNANCY-BIRTH Messages for February, 2002: Re: Shoulder Dystocia

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Re: Shoulder Dystocia

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 19 Feb 2002 14:57:21 -0600 (CST)

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In reply to: Misty: "Shoulder Dystocia"

At Tue, 19 Feb 2002, Misty wrote: >
>I am now 32 weeks pg with my second pregnancy. My first pregnancy went
>40 weeks and 3 days and was induced. My first pregnancy came in at a
>weight of 8lbs and 8 ozs and had shoulder dystocia. She was having
>trouble breathing after the birth but stabilized and went home with me
>on a normal stay. I had a very bad tear that required an extra day stay
>in the hospital. My question is should i be concerned that this
>pregnancy will result in an even bigger baby and with the same shoulder
>dystocia problem...It was very scary at the time and i am really
>frightened that the next go around i won't be so lucky that my baby may
>die of complications. What are the chances that i am looking at the
>same outcome with this child. Should i look into early induction or
>possible full term c-section?
>
>Thanks in advance..
>
>--
>Misty
>

Typically, 2nd babies are a bit larger, but 2nd deliveries are almost always a whole lot easier. There is no safe weight from shoulder dystocia, and no study has ever been able to show that prophylactic c/s prevents any long term complications. Still, I would be looking to induce a bit early myself, say around 39 weeks, and ANY disruptions of a normal labor curve would warrant a quick trip to the OR.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

Next message: William McIntosh, MD: "Re: 2 live children,4 miscarriages and ttc now 1 year.Help!"
Previous message: William McIntosh, MD: "Re: overweight and epidural"
In reply to: Misty: "Shoulder Dystocia"

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