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Re: vag exams with SROM and no laborFrom: Margot Barclay, MD, FRC (bmargot@telus.net)Thu Nov 9 07:53:14 2006
Don't any of you have speculums in your hospital? Do a sterile speculum exam to determine cervical status, and induce immediately with oxytocin. With SROM she has already applied prostaglandins to her cervix; your success with oxy alone is just as likely, with fewer infectious complications (TERM PROM data). If you recommend cold C/S, what do you tell her about her risk in future pregnancies? Do you consider how big a family she is planning?
-- Margot Barclay,MD, FRCS(C) OB/Gyn Trail, British Columbia
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