Re: Normal delivery and uterine rupture after c-section

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Sat Feb 26 03:13:52 2005


Don't be fooled into thinking she is going to continue to get better. If there is clot (I presume "cloth" is just a typo for "clot") in the region of the C/S scar, there is a big chance it will become infected and she will bleed again and again until something is done about haemostasis. If you are going to observe, act on a rising temperature, be prepared to act within an hour of the next bleed, and be prepared for a rotten gangrenous lower segment which will necessitate a hysterectomy. I speak from painful experience.

Steve Raymond

Ricardo Francalacci Savaris wrote:

>I saw the patient this morning. She is pretty well, the pain is minimal, vital signs stables. Hb: 10.
>Vaginal bleeding is minimal to moderate. The new US showed a cloth behind the peritoneum and bladder. No free fluid in the abdominal cavity.
>It is very difficult for me to take her to OR, if she is not unstable.
>Yesterday she had pain and the bleeding was more intense, but today she looks fine.
>I decided to intern the patient and observe her, give uterotonics. Monday I will give the update.
>
>Thanks for you all.
>
>Ricardo Francalacci Savaris
>





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