Delivery

Delivery

Her uterus was adherent to her anterior abdominal wall!

Posted by Dr Gary Sykes on - Latest Posts, Caesarean Section
Baby in Uterus that is Adherent to Abdominal Wall

A new patient saw me for management of her third pregnancy. Her first delivery had been in Pakistan. It was an emergency Caesarean section at 36 weeks because of foetal distress. Her second delivery was in the United Kingdom. It was an emergency Caesarean section at 40 weeks because of lack of progress in labour. […]

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Foetal distress in first stage labour

Posted by Dr Gary Sykes on - Latest Posts, Delivery
Pushing Up Cervix

I have had two patients recently where despite foetal distress in first stage pregnancy were able to have vaginal deliveries. The first patient was in her second pregnancy with the first pregnancy ending as a miscarriage because of the baby having a chromosomal abnormality. This pregnancy was complicated by gestational diabetes (managed by diet with […]

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Management of an occipito-posterior positioned baby

Posted by Dr Gary Sykes on - Latest Posts, Delivery
Occipito-Posterior Position

It was Shannon’s third pregnancy. Her first was in 2015. That pregnancy had been uneventful. She ruptured her membranes at 40 weeks. As she did not go into labour a Syntocinon infusion was commenced. She had a vaginal delivery of a healthy girl weighing 3.1Kg. Her perineum was intact. I needed to give her a […]

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Just in time

Posted by Dr Gary Sykes on - Latest Posts, Caesarean Section
Caesarean Section Successful Delivery

Vanessa saw me for her first antenatal visit of her second pregnancy when she was 8 weeks pregnant. She told me her first pregnancy was uneventful. She went into spontaneous labour at 37 weeks. Labour lasted about 15 hours. There was a lack of progress in the second stage despite one hour of pushing. Forceps […]

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Repeat Caesarean section had unexpected surprises

Posted by Dr Gary Sykes on - Latest Posts, Caesarean Section
Previous Poor Caesarean Section Closure

A patient said to me at her first antenatal visit of her second pregnancy that she wanted an attempt at a VBAC (Vaginal Birth After Caesarean section). She was ten weeks pregnant at the time. I had not met her prior and I was not the obstetrician for her first pregnancy and I did not […]

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Pregnancy and young drivers

Posted by Dr Gary Sykes on - Latest Posts, Delivery
Banned Mobile Phones for Provisional Drivers

On December 1st 2016 driving rules in NSW changed for learner, P1 and P2 licence holders. Learner, P1 and P2 licence holders are now not permitted to use a mobile phone at all while driving. “These laws encourage learner and provisional drivers and riders to concentrate on developing their vehicle control and hazard-perception skills. Mobile […]

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Face presentation

Posted by Dr Gary Sykes on - Latest Posts, Delivery
Face Presentation Delivery

I was woken by the midwife at 12.30am. A patient had arrived in labour at 6cm cervical dilatation. She was 39 weeks’ gestation and she had had two uncomplicated vaginal deliveries. She still had intact membranes. The midwife asked me to come as she was starting to get pressure. She concluded the conversation by saying: […]

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Two recent cases of placenta praevia

Posted by Dr Gary Sykes on - Latest Posts, Caesarean Section
Placenta Praevia - Baby Delivered Through Placenta

Two recent cases of placenta praevia It was a Thursday afternoon. I took a patient to theatre for a Caesarean section delivery because of placenta praevia. Placenta praevia is when the placenta develops in the lower aspect of the uterus and in close relation to the cervix. In this case, the ultrasound scan indicated the […]

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Fully dilated and baby’s head not engaged

Posted by Dr Gary Sykes on - Latest Posts, Delivery
Full Dilation but Head not Engaged

I was woken at about 12.30am by a midwife working in the Birth Unit. A patient had arrived in spontaneous labour and her cervix was now fully dilated. But the baby’s head was very high. The midwife told me the head was still at the level the brim of the pelvis. Membranes were still intact. […]

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How to avoid tearing with delivery.

Posted by Dr Gary Sykes on - Latest Posts, Delivery
Intact Perineum at Delivery

Last night a patient had an intact perineum after a spontaneous vaginal delivery. It was her first baby. There was some minor vaginal tearing only. I said to her she can expect to have a much better recovery because her perineum was intact. I often get asked by patients: “How can I avoid stitches?” The […]

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