-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Incarcerated uterus From: Rupak Ranjan Roy (rupakray@caltiger.com) Fri Jun 30 20:56:08 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Rupak Ranjan Roy: "Re: Rupture uterus at 8 weeks after misoprostol" Previous message: Larry Glazerman: "Re: Going Bare on Malpractice Insurance" Maybe in reply to: Jane Helwig, MD: "Incarcerated uterus" Next in thread: fuf: "Re: Incarcerated uterus" Reply: fuf: "Re: Incarcerated uterus" What about leaving things for a bit and allowing the uterus to grow out of the pelvis? Few hours in a day spent in the prone position may help. -- Rupak Ranjan Roy MRCOG >----- Original Message ----- From: Jane Helwig, MD <jane@seasonedsystems.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: 01 July 2000 10:09 Subject: Incarcerated uterus > G3P2 at 11 weeks presents with urinary retention. She says this > happened in each of her previous pregnancies and both times her OB > pushed on her uterus from below to resolve the problem. On exam, the > uterus is so retroflexed as to be almost horizontal, with the cervix > under the symphysis. Foley was inserted for 24 hours and urinary > retention has resolved. > > I tried to push the uterus up vaginally while the patient was in > lithotomy position and again while she was in knee-chest position, but > didn't feel any change in its position. > > Questions for those who have successfully pushed the uterus up, with or > without anesthesia: could you tell from movement of the uterus that you > had succeeded? Did you monitor with ultrasound? How did you know it > worked? > > Since she's now asymptomatic, do I need to do anything more? If urinary > retention or pain returns, I have Plans B, C, D: pushing from below > rectally, pushing from below under spinal anesthesia, colonoscopy a la > recent article. Don't have any elemental mercury on hand for Plan E. > > Any comments? > > -- > Jane Helwig, MD, FACOG > Private practice > Nassawadox, VA > Next message: Rupak Ranjan Roy: "Re: Rupture uterus at 8 weeks after misoprostol" Previous message: Larry Glazerman: "Re: Going Bare on Malpractice Insurance" Maybe in reply to: Jane Helwig, MD: "Incarcerated uterus" Next in thread: fuf: "Re: Incarcerated uterus" Reply: fuf: "Re: Incarcerated uterus"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Sep 2 04:50:41 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.