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Re: preterm ROM - reformed cervix? From: Sue Smith (midwifesue@charter.net) Fri Mar 12 14:09:24 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Cesarean Refusal Results In Murder Charge" Previous message: Joanne Bulley, MD: "Re: Cesarean Refusal Results In Murder Charge" In reply to: DoctorJoe@aol.com: "Re: preterm ROM - reformed cervix?" Joe, I haven't seen any other replies, so I'll jump in. I have seen this quite a few times. The most dramatic change was from a stretchy 8 cms at home to a tight 4 on transfer to the hospital (for a planned hospital birth). I did labor support/monitoring for about 15 years, mostly for women who wanted to stay home as long as was reasonable, and it was typical to see a reduction of about 2 cms between home and hospital. I think anxiety and the whole disruption of labor while changing environments and getting settled in at hospital were the probable cause. The losses tended to be made up quickly once mom was settled in and admission procedures were over. Since this is my first post, though I've been reading the list for a couple of years, I'll introduce myself. I am a CPM in Massachusetts and have been attending homebirths for 22 years, have taught for various midwifery courses over the years, and am a QE for NARM (North American Registry of Midwives). Thanks to the list for all the information -and the occasional laugh. -- Sue Smith _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of DoctorJoe@aol.com Sent: Wednesday, March 10, 2004 11:40 PM To: Multiple recipients of list OB-GYN-L Subject: Re: preterm ROM - reformed cervix? In a message dated 3/10/04 14:20:14, rchudacoff@mylinuxisp.com writes: 27 yo G3 P2 at 32+4 weeks EGA, admitted 36 hours ago with PTL. Stopped with Terbutaline. Finished Dexamethasone this morning, has been on Ampicillin since admission, as well as Macrobid for a presumptive UTI picked up a day earlier. Cervix at admission was 70%/3-4 cm/-2, and this AM 40%/1-2/way up high. Already to go home to bed rest, then she SROMs. Hmmmmm. Not to change the subject, but how much can a cervix REFORM after tocolytics and bedrest and all? Going down 2-3 cm is pretty dramatic, don't you think? I'd like to see what experience others (esp. the midwives watching) have with this idea. Joe P. Next message: Garry E. Siegel, M.D.: "Re: Cesarean Refusal Results In Murder Charge" Previous message: Joanne Bulley, MD: "Re: Cesarean Refusal Results In Murder Charge" In reply to: DoctorJoe@aol.com: "Re: preterm ROM - reformed cervix?"

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