Re: no subject received Sat, 11 Nov 2006 07:56:00 -0600
From: Bernard Cristalli (bcrist@club-internet.fr)
Sun Nov 12 01:30:45 2006
I meant hysterectomies, prolapses or urinary stress incontinence vaginal
procedures.
If you have the "go" from the orthopod then go.
BC
Jennifer Duggan a écrit :
>Thanks for the info both of you...:) It's no wonder I couldn't find
>anything related, since the literature is so scant.
>
>I already figured McRobert's wouldn't be a good idea, I'm sure we'll be
>going for Gaskin if need be. And, her surgeon highly recommended not to
>have an epidural, b/c she would not be able to sense if damage were
>occurring in her hips...so she'll be able to move well.
>
>Bernard, you said vaginal surgeries are more common in these women. Do
>you mind my asking what type and what the cause might be?
>
>My client's situation is rare in a few respects. She had CML in her
>teens(rare b4 middle age), bone marrow transplants, chemo and full
>radiation twice, double hip and double shoulder replacement as a result
>of the damage...years later. She was on the pill for 18yrs and was
>hormonally assessed as infertile 5yrs ago, as well as being told there
>was too much damage from her cancer treatments to ever get pregnant.
>
>She became pregnant naturally, two months after stopping the pill,
>without trying. Baby is perfect and she has had an ideal pregnancy.
>
>A true miracle.
>
>Jennifer Duggan, CPM
>
>At Sat, 11 Nov 2006, jsbowpat@aol.com wrote:
>
>>My partner (OB/GYN) had a patient in her practice with a single hip replacement several years ago. The orthopedic surgeon also said there would be no problem for a vaginal birth. Pain management considerations were not unusual, with respect to the labour. Other than avoiding abducting the thighs (which overly rotates the hip) or an extreme McRobert's position (knee no > 90 degrees at the hip) in order to avoid injuring the hip, it should not be any problem. In addition, she doubts that there is much literature on labour/birth and double hip replacements, since it is a procedure not typically seen in young, healthy childbearing women.
>>
>>Susan Paterson CNM
>>Bay City MI
>></div>
>>
>></BODY></HTML>
>>
>
>Bernard Said:
>Hip replacement is rare in child nearing age so the litterature is poor.
>But vaginal surgery is much more frequent in those women. I perform a
>lot of these surgeries, the position is quite the same and the
>prosthetic hip is not a trouble. BC
>
|
|
