Document Detail

Utilization of instruments in the chairman's curio cabinet: a case report.
MedLine Citation:
PMID:  22523878     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The use of fetal destructive instruments found in curio cabinets may be unfathomable; however, these instruments continue to have a role in select cases.
CASE: A 30-year-old multigravida at 40 weeks' gestation had 3 prior normal vaginal deliveries in Africa followed by a cesarean delivery with a complicated postoperative course in the United States. She was intent on having a vaginal delivery, despite repeated recommendations for surgery due to nonreassuring fetal status. After fetal demise and subsequent arrest of labor, vaginal cephalocentesis and fetal extraction were used to achieve delivery. CONCLUSION Fetal destructive procedures, such as the one described here, have a role in modern obstetrics in select cases. In addition, despite an unfortunate fetal outcome, respect for patient autonomy is paramount and is consistent with the recommendations of the American Congress of Obstetricians and Gynecologists. (J Reprod
Kristina Tocce; Barbra M Fisher; Marsha Wheeler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  57     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-04-24     Completed Date:  2012-05-10     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  164-6     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Colorado Denver, Aurora, Colorado 80045, USA.
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MeSH Terms
Delivery, Obstetric / instrumentation*
Obstetric Labor Complications*
Surgical Instruments

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