|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: New question-fistula and delivery routeFrom: Braun, R. Daniel (rbraun@iupui.edu)Thu Nov 13 04:22:54 2003
I don't think there is any real science on this issue. I think most people feel that a cesarean decreases the risk of getting a 4th degree and hence decreases the risk of getting another fistula. Dan -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Jay Kulkin Sent: Wednesday, November 12, 2003 11:05 PM To: Multiple recipients of list OB-GYN-L Subject: New question-fistula and delivery route 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 This email may contain confidential or proprietary information which may be legally privileged. If you are not the named recipient, you should immediately delete it from your computer system.
> ----- Original Message ----- A ticket You've earned for writing with an expired poetic lisense. Mont Ana, Lucy Anna, where will it all end? tj DoctorJoe@aol.com Sent by: ob-gyn-l@obgyn.net 11/12/2003 01:31 PM Please respond to ob-gyn-l To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> cc: Subject: Re: FRI Spam Alert: RE: Amazing case! In a message dated 11/12/03 15:26:45, Terrence.Jones@kp.org writes: Just curious - when was the last time You renewed that poetic license? Think Ben D would've agreed with sentiment embodied in Lucy Anna -- Liberal Govt is much the same as Conservative, just without the organization. So chads are left hanging about, uncounted. Tho paternalistic, He cared about the worker. tj Yes.... Workers of the world unite! You have nothing to lose but your... your... your JOBS!!! Yeah, that's the ticket! Joe P.
|
|
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: Wed Jul 2 04:36:19 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.