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Re: cervical prolapse From: Scott Oesterling (scottoesterling@sbcglobal.net) Thu Dec 22 06:40:52 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: FRI Not really Kick Counts" Previous message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Suturing second degree lacerations" In reply to: marin tane: "cervical prolapse" Next in thread: Andrew Folley: "Re: cervical prolapse" How about making a pessary out of a segment of PVC pipe? You will have to remove it frequently to clean it and to look for erosions, but it should be able to be sterilized. You may also consider looking for a pessary-like ring from another source - such a large bushing (rubber). -- Scott Oesterling Stanford, CA On Dec 21, 2005, at 9:03 PM, marin tane wrote: > I am working in Afghanistan at a maternity hospital and I have a > patient G3 P2 who has a cervical prolapse.  She has now been with us > for 9 days.  We have managed to reduce the cervix and it is back in > the vagina.  We are giving her diclenfenac and she is on bed rest with > bathroom privileges.  We are packing the vagina with gauze daily to > help hold the cervix in place.  We do not have access to a ring or > even a diaphragm to help hold it in place.  This has happened for her > with her last two pregnancies.  Both of her babies died after a > premature delivery.  She is now 6 1/2 months pregnant.  We are trying > to keep her pregnant as long as we can as there is not much in the way > of prem care here.  The FHR is reassuring and the movement is good.  > My question is how long can we safely give the diclenfenac.  She is > receiving 50mg bid now and we try not to give it everyday.  But when > we stop it does ! start to prolapse again.  Also is there anything > else I can do.  We are concerned about sending her home as when she > first arrived she had an infected cervix.  We have treated that.  She > has a Hb of 7 so we have given her one unit of blood.  I have read the > literature and this is as much as I could find.  Is to treat with > anti-inflammatory and bed rest.  Any thing else? >   > Leslie Hawkins > Senior Midwife/Maternity Hospital Manager > Emergency NGO > Anabah, Afghanistan > > Tired of spam? Yahoo! Mail has the best spam protection around Scott Oesterling Next message: art fougner, md: "Re: FRI Not really Kick Counts" Previous message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Suturing second degree lacerations" In reply to: marin tane: "cervical prolapse" Next in thread: Andrew Folley: "Re: cervical prolapse"

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