PREGNANCY-BIRTH Messages for March, 1999: Re: Automatic C/S for babies

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Re: Automatic C/S for babies > 9 lbs?

From: William D. McIntosh, MD (anonymous@obgyn.net)
Mon, 8 Mar 1999 19:40:52 -0600 (CST)

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At Mon, 8 Mar 1999, AMD wrote: >
>My sister-in-law is just about to have a c-section after > 10 hours
>pitocin with < 4 cm dilation. She is miserable and the epidural is not
>providing enought relief. Last Monday, an U/S EFW was 8#12oz. When
>explaining the need for the c/s with my husband and their mother, the
>doctor mentioned a policy requiring c-sections for babies over 9 lbs. Is
>it common to have this kind of cutoff for allowing a vaginal delivery?
>I've known lots of 9# vaginal babies.
>
>BTW - she was induced for high blood pressure, combined with sheer
>misery. Poor thing is so swollen all over that her skin can't stretch
>anymore.
>
>Andrea

This is a theory that has been proposed to try and reduce the incidence of a potentially bad birth problem called shoulder dystocia. The problem is that several studies have shown that there is no improvement in this problem by sectioning everyone at a specific fetal weight. Therefore, it is not the standard of care as defined by ACOG to perform an elective C/S for a specific fetal weight.

-- William D. McIntosh, MD Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

Next message: Noelle: "Re: What is the rectus abdominus? and HERNIA"
Previous message: William D. McIntosh, MD: "Re: What is the rectus abdominus?"
In reply to: AMD: "Automatic C/S for babies > 9 lbs?"
Next in thread: AMD: "Re: Automatic C/S for babies > 9 lbs? Follow-up"
Reply: AMD: "Re: Automatic C/S for babies > 9 lbs? Follow-up"

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