Re: Demise delivery

From: Exuma Pierre Tony (ptexuma2@yahoo.com)
Thu Jan 15 10:01:24 2004


How is the cervix and the platelets count? Can I have an idea about the bishop score? Did you consider LAMINA?

Dr Pierre Tony EXUMA, OB/GYN Centre Obstetrico-Gynécologique Chancerelles, HAITI PO: HT6121

"art fougner, md" <evsono@pipeline.com> wrote: As an aside, it's fascinating to note how many folks who are so eager to perform D&E with a live fetus are loathe to jump in here? i'd have thought this would be the ideal situation for the so-called "intact D&E" since the fetus is already dead. any folks out there with experience in this situation care to weigh in?

art

At Wed, 14 Jan 2004, Steve & Eryl Raymond wrote: >
>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:
>> cite="mid003801c3da1d$8304ea30$3403640a@rocky45y4biiof">
>
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> 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)
>

--
art fougner, md
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