vradojc1 wrote:
Well, internal version cannot be performed since there are no clear "outlines" of the fetus. I think Since this is probably a case of malpresentation, labor is contraindicated, it should be stopped by tocolysis and followed by Cesarean.
C/S is NOT done just based on probablity, or assumptions..and malpresentaion is an indication,with supportive evidence either through radiology or Pelvic examination( FEELING THE BUTTOCK OF THE BABY OR ANY OTHER BODY PART OTHER THAN THE HEAD)iN THE H--->presenting part not felt,cud be not engaged or not the vertex presentation --->so Do an U/S to see the presentation, if its breech other than frank---->go ahead with C/S, or if frank/vertex--->do amniotomy at 5 cm only once the fetus presenting part engages and then augment the labour with oxytocin-------------->SO i go for A
Edited by Aashi on 05/04/07 - 09:09 AM
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"Obstacles are those frightful things you see when you take your EYES off your goal."
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