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Re: OB: PP TLFrom: ainsron (ainsron@sbcglobal.net)Tue Mar 28 19:33:09 2006
We were told as residents that infection rate increased after that time, however I don't think I ever saw a study documenting it. Technically, the main reason is because after 48 hours, the involution of the uterus makes it difficult to reach through an umbilical incision. It is also easier to access the tubes laparoscopically after the uterus is completely back to its normal size & position and as Glen noted in an earlier post, softening of the uterus postpartum increases the risk of uterine perforation when manipulators are placed. It also takes less CO2 to insufflate the abdomen after six weeks. otherwise, it is quite relaxed postpartum. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Grace Loehr Sent: Tuesday, March 28, 2006 6:17 PM To: Multiple recipients of list OB-GYN-L Subject: Re: OB: PP TL
> NEVER EVER EVER between 48 hours and 6 weeks post partal. Increased Why is the infection rate decreased up to 48 hrs after delivery? Why is it increased after that? Grace RN
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