PREGNANCY-BIRTH Messages for May, 2003: Re: induction vs. c-section? help me decide

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Re: induction vs. c-section? help me decide

From: samir fouad Aziz MD (anonymous@obgyn.net)
Mon, 12 May 2003 23:38:22 -0500 (CDT)

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In reply to: Arlene: "induction vs. c-section? help me decide"

At Mon, 12 May 2003, Arlene wrote: >
>I am currently 40w6d. I have been at 80-90% effaced, 1-2 cm dialated
>with the baby at -3 to -1 station for the past 4 weeks. I have been
>having regular contractions (4-5 minutes apart) that are consistently
>getting more painful and longer in duration. I spent the night in the
>hospital last night, but they sent me home becuase there has been no
>change in my cervix. My baby is also measuring HUGE (9lbs. 7oz in u/s
>at 40w1d). I am scheduled for an induction on Thursday, but I have a
>few questions...
>1.My Doc uses a catheter/balloon inserted into the cervix to induce. Has
>anyone ever heard of this? How painful is it? He says its less painful
>that Cervidel/Pitocin, but since he's never gone through it, I'd like to
>hear from someone who has.
>2. Is is possible that because the baby is so large, his head won't fit
>through my pelvis? Could that be why I'm not dialating more?
>3. I'm worried about shoulder dystocia (sp?) and going through hell
>with labor and end up just having to have a c-section anyway.
>
>Thanks for your input!

intrauterine extra-amnoitic catheter with the use of prostaglandin F2-alpha is commonly used when we need to terminate pregnancy during the second trimester as it gives better results than other methods, however, in your condition with this contraction rupture of membranes and pitocin is o., although with high head it is better to try pitocin alone to see if the head will descend normally or not.if you are diabetic the decision for CS will be easy, but if not it is better to try vaginal delivery specially if you have adequate pelvis,as it does not depend on the size of the baby but on the feto-pelvic proportion

--
SAmir Fouad Aziz MD
Assist Professor OB.Gyn
Director Gyn.oncology
Al-Azhar University-Egypt
Editorial advisor OBgyn.net(P&B,Gyn.Oncology)
Editor-in-chief http://www.arabicobgyn.net
Consultant Editor the contemporary Who's Who
This is for teaching purposes only

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In reply to: Arlene: "induction vs. c-section? help me decide"

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