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Re: OB: PP TL From: Meenan, Anna, Kevin (annam@uic.edu) Mon Mar 27 17:40:06 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: OB: PP TL" Previous message: Grace Loehr: "Re: Pain management" In reply to: Garry E. Siegel, M.D.: "OB: PP TL" Next in thread: RModugno@aol.com: "Re: OB: PP TL" It's not necessary to do it immediately postpartum. In fact, it's almost impossible anymore in our hospital to get an OR crew to do one postpartum. Have her schedule it electively at 6 wks pp with your partner. A personal reflection: I had always planned on a pptl after baby #2. Baby #1 wore me out and I was just sure I couldn't do that more than once more after that. I had planned to have it done at 6wks pp because I didn't want to have to be coping with an incision (however small) and the after-effects of general anesthesia (always a major problem for me) while nursing a baby around the clock and getting no sleep. Fortunately, baby #2 was an absolute angel (and WAS is certainly the operative word here these days), and by 6 weeks I was feeling so terrific I decided I did have the energy to do it again, and that's how Darling Baby Daughter came to be. I can't imagine life without her. I have occasionally arranged tubals for G1P1's, but I recommend waiting til at least 6 wks pp. Have also been involved in a couple of cases where pptl was already done and the baby turned up with a lethal cardiac defect or genetic disorder that wasn't apparent on initial exam in the nursery. Not a good thing if it's her only kid. Anna Meenan, MD >23 YO P1001 at 36 weeks adamantly desires PPTL. > >I have advised against it, and discussed alternatives ad nauseum. > >I am in a 3 doctor group, and I feel strongly that I do not want to do >this regardless of the patient's request; I know one of my partners--and >this is OK--probably would not be bothered by doing so. > >Needless to say, this represents a small glitch, i.e. may deliver and >need surgery when I'm on call. Also, it represents some division within >the group, albeit very minor division which is not an issue in terms of >how we get along. > >Any suggestions welcome. > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA Next message: RModugno@aol.com: "Re: OB: PP TL" Previous message: Grace Loehr: "Re: Pain management" In reply to: Garry E. Siegel, M.D.: "OB: PP TL" Next in thread: RModugno@aol.com: "Re: OB: PP TL"

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