Re: 23 week pPROM

From: Andrew Folley (agfolley@hotmail.com)
Tue Feb 20 16:13:33 2007


This is a very interesting comment and I have never heard of doing something like this before. It seems like in desparate situation (Prom 19-24 weeks etc) that desparate measures could be taken (ie oversewing the cervix) Anyone hear of similar work in the states??? andy\

Comment: Not that it will help this pregnancy, but Dr. Saling and colleagues at the Saling Institut in Germany have lowered their PTL and pPROM rates with an oversewn cerclage and twice weekly patient checked pH test. There is a lot of information on their web site, both for patients and providers. >

>From: garrys@mindspring.com (Garry E. Siegel, M.D.)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: 23 week pPROM
>Date: Mon, 19 Feb 2007 21:21:01 -0600
>
>Pretty much agree with 48 hours IV, then 5 more days of P.O.
>
>Garry
>
>Ef--great review article.
>
>At Mon, 19 Feb 2007, ljmidwife@aim.com wrote:
> >
> >At Hutzel it is Amp and Erythro IV times 48 hours, the Amoxicillin and
>Erythro po times 5 days. Other antibioitics are given based on the clinical
>picture.
> >
> >Not that it will help this pregnancy, but Dr. Saling and colleagues at
>the Saling Institut in Germany have lowered their PTL and pPROM rates with
>an oversewn cerclage and twice weekly patient checked pH test. There is a
>lot of information on their web site, both for patients and providers.
> >
> >http://www.saling-institut.de/eng/index.html
> >
> >Linda Johnson, CNM
> >http://www.mothersownbirth.com
> >Temperance, MI
> >1-866-920-8100
> >
> >"Not to know is bad. Not to want to know is worse.
> >Not to hope is unthinkable. Not to care is unforgivable."
> >--Nigerian saying
> >
> >________________________________________________________________________
> >Check Out the new free AIM(R) Mail -- 2 GB of storage and
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>industry-leading spam and email virus protection.
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> >--
> >________________________________________________________________________
> >
> >________________________________________________________________________
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA

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