Re: Post Partum BTL

From: Andrew Folley (agfolley@hotmail.com)
Wed Feb 28 08:42:09 2007


"Better to be a coward and live to fight another day." Anonymous response to Custer after last stand. Obese moms are probalby better served by having essure done 12 weeks post partum. andrew

>From: Dr Eberhard 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: Post Partum BTL
>Date: Tue, 27 Feb 2007 23:30:18 -0600
>
>Yes, you are a woos :-)-O
>
>If she involutes, make a Joel-Cohen incision.
>
>el
>
>on 2/28/07 3:47 AM Richard Kaplan said the following:
> > About 6 months ago I had to abandon a post partum BTL on an obese
> > patient who was close to 36 hours post delivery because her fundus had
> > involuted to the point where I could not palpate it or find the tubes
> > through my subumbilical minilap incision. This morning I cancelled a
> > BTL on another obese patient 24 hours post partum when her fundus
> > palpated well below the umbilicus (14-16 wks.) and I was afraid that I
> > would have the same problem. She was happy to schedule a laparscopic
> > procedure in 5 weeks. My partners think I'm a woos. Have any of you
> > had similar experiences?
> >
> > Richard Kaplan
>
>--
>Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
>el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
>PO Box 8421 \ / Please do NOT email to this address
>Bachbrecht, Namibia ;____/ if it is DNS related in ANY way

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