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30 Something Baby Doc

Thursday, May 10, 2007

Total Breech Extraction

Last night on call, we delivered 2 sets of twins. The first set was by C-section. The second set was delivered vaginally. Twin A (1st) was delivered from a vertex (head first) presentation. Twin B (2nd) was delivered from a breech (butt first) presentation. Immediately after delivery of the first twin, we grabbed the feet of 2nd twin before breaking the amniotic sac. Then I instructed the resident to pull with gentle traction on the feet and legs, combined with additional maneuvers to deliver the torso, arms and head. My blood pressure always goes up when the head in being delivered, because I'm aware of reports of premature fetuses being decapitated from head entrapment (the head becomes stuck in the cervix). The delivery went extremely well. It's always amazing to see a baby being born feet first.

Speaking of my Blood Pressure, I go to see my doctor today. I'm still getting those pounding headaches and I starting to become worried.


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