Re: Uterine size after c-section
From: Jamie (ajfields@pine-net.com)
Tue Aug 8 18:51:02 2006
out of curiosity-why the hyst?
At Tue, 8 Aug 2006, R. Daniel Braun wrote:
>
>It should be less than 12 weeks size by 7 days.
>Dan
>
>On 8/8/06, Ricardo Savaris <rsavaris@hcpa.ufrgs.br> wrote:
>>
>> Dear all,
>> the short version:
>> My quetion: what size I suppose to expect after 29th days of postpartum
>> in a patient that is not breastfeeding?
>>
>> The long version:
>> Here is the case. 19 years old, G3P2C1.
>> The patient had a c-section 29 days ago for ftal distress. Few days
>> before the c-section, she had fever due to pneumonia. The staff start
>> with IV antibiotics (3rd gen cefalosporin). 3 days after c-ssection she
>> developed pumonary failure, was sent to ICU and is still there till
>> today. The clinicians gave as many as possible antibiotics regimes, and
>> her clinical condition is not improving. Lung biopsy: viral pneumonitis
>> yesterday the head of the service asked my team to evaluate the patient
>> for puerperal hysterectomy. She is receiving full doses of
>> noradrenaline (mean arterial pressure 40mmHg) , O2 sat 40% with positive
>> pressure of O2 100%, induced coma.
>> Today (29th post-op), her uterus is 2cm below the umbilicus. Some of my
>> collegues say that this size of the uterus is compatible with the case,
>> because she is not breastfeeding.
>> IUC people did not clear her for surgery yesterday, because she did not
>> have conditions. Today she had and went to hysterectomy + bilateral
>> salpingectomy.
>> The pathologist says that uterine size is compatible. No gross signs of
>> infection (no pus).
>> My quetion: what size I suppose to expect after 29th days of postpartum
>> in a patient that is not breastfeeding?
>>
>> --
>> Ricardo Savaris, MD
>> Porto Alegre - Brasil
>>
>--
>R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage everyday".
> Hippocrates
>
--
JFields, RN, BSN
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