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This one should go pretty quickly, but some of you new attendings may not have come across this in the past.
35 y/o female presents with pre-eclampsia and contracting. 2cm. X2 previous C/S. Baby is breach. Stopped by Mccdonalds on the way to the hospital. Short and Obese. MP IV, HM 1 FB, thick neck. Previous history of T12-S1 posterior lumbar fusion.
B.P. 235/120
FHR 180's
OB calls and is pushing for a C/S.
What do you do?
35 y/o female presents with pre-eclampsia and contracting. 2cm. X2 previous C/S. Baby is breach. Stopped by Mccdonalds on the way to the hospital. Short and Obese. MP IV, HM 1 FB, thick neck. Previous history of T12-S1 posterior lumbar fusion.
B.P. 235/120
FHR 180's
OB calls and is pushing for a C/S.
What do you do?