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Re: Uterine size after c-section From: Laure (lfolgar@vianwe.com) Wed Aug 9 07:44:00 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Laure: "Re: Clincial Pelvimetry" Previous message: Shell Walker: "Re: Uterine size after c-section" In reply to: Jamie: "Re: Uterine size after c-section" Next in thread: Garry E. Siegel, M.D.: "Re: Uterine size after c-section" The only explanation for a hyst in this woman is a diseminated intravascular coagulation. A uterine subinvolution is normal at that circustances and if no bleeding do not need a hyst. L. Folgar OBGYN County Hospital Melilla Spain -----Mensaje original----- De: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] En nombre de Jamie Enviado el: miércoles, 09 de agosto de 2006 1:51 Para: Multiple recipients of list OB-GYN-L Asunto: Re: Uterine size after c-section 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 Next message: Laure: "Re: Clincial Pelvimetry" Previous message: Shell Walker: "Re: Uterine size after c-section" In reply to: Jamie: "Re: Uterine size after c-section" Next in thread: Garry E. Siegel, M.D.: "Re: Uterine size after c-section"

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