Re: vag exams with SROM and no labor

From: Efrain Ramirez (eramirezt@coqui.net)
Thu Nov 9 15:43:07 2006


Agree - besides - what's all the fuss if you wear sterile gloves - and you don't want to feel the uterine fundus ..

Ef

>At Thu, 9 Nov 2006, art fougner, md wrote:
>
>While ultrasound is a useful tool in assessing cervical length, my own
>experience suggests that digital exam is better able to assess
>dilatation. I'd be interested in any references to the contrary.
>
>thanks in advance.
>
>Art
>
>At Thu, 09 Nov 2006, Andrew Folley wrote:
>>
>>If patient is preterm prom no digital exams are one thing. If she is term
>>with preterm prom get your trained fingers in there and determine what is
>>going on. The best ultrasound pales in comparison to the fingers of a
>>trained obstetrician. andrew
>>
>>>From: Dr Eberhard W Lisse <el@lisse.NA>
>>>Reply-To: ob-gyn-l@obgyn.net
>>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>>Subject: Re: vag exams with SROM and no labor
>>>Date: Thu, 9 Nov 2006 08:02:30 -0600
>>>
>>>Bernard,
>>>
>>>I know you are not keen on evidence, but this has been researched ad
>>>nauseam. Vaginal probe is better but with some experience you can also
>>>do this abdominally, whichis what one should look at when SROM.
>>>
>>>el
>>>
>>>Bernard Cristalli wrote:
>>> > You can see cervical dilation by US, at term...
>>> > Gosh
>>> > With a vaginal probe, probably...
>>> > BC
>>> >
>>> > Danae Steele a écrit :
>>> >> You can avoid the risk of infection with the VE, AND get the
>>> >> information you want about presentation, by using ultrasound. Can see
>>> >> a face presentation, breech, complete dilation, etc etc. I say keep
>>> >> your fingers out of there until she is in labor.
>>> >>
>>> >> Danae Steele, M.D.
>>> >>
>>> >
>
>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>

--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Thu Oct 2 04:54:45 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.