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

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SIL had a 8#10oz baby girl and everyone is good, but tired (she had to have general anesthesia).

Thanks again for clearing this up.

Andrea

At Mon, 8 Mar 1999, William D. McIntosh, MD wrote: >
>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.
>

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