Re: Demise delivery

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Wed Jan 14 21:01:35 2004


<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> For goodness sake, who does classical sections, even at 26 weeks, these days. 

Why do anything?  The safest is to wait for up to 6 weeks with an eye on her platelets in the last fortnight.  If still pregnant then, probably repeat the hysterotomy.  I wouldn't stimulate her uterus with anything, but a good option before repeating the surgery,  would be to insert a foley's catheter in the cervix, blow up the balloon and apply traction.  It just might save her another operation.
Steve

Lynn D. Montgomery, M.D. wrote:
Message
Have a patient who is 25 weeks gestation with a fetal demise.  Only previous pregnancy delivered at 26 weeks for severe PIH via classical cesarean section - documented by operative report.
How would everybody deliver?
Lynn 
 

 


--
S.H. Raymond FRCOG
Principal Specialist
Department of Obstetrics & Gynaecology
Empangeni Hospital
Private Bag X20005
Empangeni
SOUTH AFRICA 3880

Phone: (+27)-35-9028560
Fax: (+27)-35-7922596

Everyone thinks of changing the world, but no one thinks of changing himself.
Leo Tolstoy (1828-1910)





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