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Re: "low normal" amniotic fluid and external cephalic version

From: Marisa Geller MD (anonymous@obgyn.net)
Fri, 7 Feb 2003 21:55:20 -0300


You have to take into account that a version has risks in fetal vitality and that is why your Ob prefers not to do it. Marisa Geller M.D. Coordinator Obgyn.net Latina Specialist on Obstetrics and Gynecology Specialist on Fertility and Sterility Buenos Aires Argentina

Note: opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

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>----- Original Message -----
From: Delany <anonymous@obgyn.net> To: Multiple recipients of list PREGNANCY-BIRTH <pregnancy-birth@mail.medispecialty.com> Sent: Friday, February 07, 2003 6:16 PM Subject: "low normal" amniotic fluid and external cephalic version

> Hi:
>
> I'm 34w 1d preganant with a breech baby- - he was breech at 28 weeks
confirmed through ultrasound and since that time (when I was able to tell the difference between his head and other parts), I've checked several times a day and have noted that he's never been head down (at least while I've been awake!). He moves a lot, but his head stays between about 11am and 1pm...when I expressed this to my ob/gyn, he did an ultrasound to check growth, proportion and amniotic fluid levels (33w 3 days). His opinion was that the baby appears to be normally developing and proportional, but my amniotic fluid looks "low normal" which may be why the baby isn't able to turn himself. I was disappointed that the ob/gyn now feels that I "won't likely be a candidate for version"...as amniotic fluid tends to decline towards term and my level is about 7 or 8 right now (whatever the unit of measurement is).... >
> My question is: how low does ones amniotic fluid levels have to be before
version is contraindicated. I can understand it if you really have oligohydramnios, but is "low normal" a real reason to rule out version? I really don't want a c-section if I can avoid it. >
> Thank you for your help.
>
> Delany Thrasher, PhD
>




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