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New question-fistula and delivery routeFrom: Jay Kulkin (jkulkin@mindspring.com)Wed Nov 12 21:03:25 2003
A patient has a rectal fistula repair (etiology of the fistula not childbirth or inflammatory bowel disease related) and is now, a few years later, pregnant. She asks what the recommended route of delivery should be. I'm looking for references or articles to help her. In my training we would have recommended primary C/S but I want to know if there is different thinking now. All thoughts and references appreciated. Jay
-- Jay M. Kulkin MD MBA FACOG Women's Institute For Health PC 975 Johnson Ferry Road Suite 460 Atlanta, GA. 30342 ph: 404-832-0300 fax: 404-832-0070 http://www.wifh.com
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