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Re: 2am roundtable discussionsFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Sat Nov 17 05:26:31 2007
At Fri, 16 Nov 2007, DMECNM@aol.com wrote: > >It is 2 a.m., the board is full, no one is going to bed anytime soon. There >are still 5 laboring women in waiting room hoping for a bed ... soon. > >Discussion at the desk regarding what we all learned 10, 20, 30 years ago as >"standard practice". > >So, how many of you, regardless of circumstances, inspect for a cervical >laceration on EVERY and ALL vaginal deliveries? > >Denise, CNM >So Cal Int J Gynaecol Obstet. 1991 Feb;34(2):133-7.Links Postpartum colposcopy of the cervix: injury and healing.Fahmy K, el-Gazar A, Sammour M, Nosair M, Salem A. Department of Obstetrics and Gynaecology, Benha, Faculty of Medicine, Egypt. Colposcopic examination was done in 189 successive parturients within 6-48 h of delivery for evidence of type, site, and extent of cervical trauma and its relation to various obstetric factors. There was trauma in 66% of cases, as erosion in 79%, as laceration in 56%, as bruising in 30%, and as yellow areas in 17%. In about two-thirds of cases, the diameter of cervical erosion, or the length of laceration did not exceed 5 mm and 81% of lacerations were of first degree. Cervical injury was significantly more frequent in primiparae, in the anterior cervical lip, in occipito-posterior positions, and with premature rupture of membranes. In 117 parturients with cervical injury another colposcopic examination was done 6-8 weeks postpartum. In 8% there was residual cervical damage. PMID: 1671367 [PubMed - indexed for MEDLINE]
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Take care, John
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