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Re: 2am roundtable discussions From: Efrain Ramirez (eramirezt@coqui.net) Sat Nov 17 11:34:01 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Calif. Bar Board Members Butt Heads on Malpractice Insurance Disclosure" Previous message: AllanHo@aol.com: "Re: preteen PCOS" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 2am roundtable discussions" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 2am roundtable discussions" I do not inspect cervix routinely unless there is abnormal bleeding - very few cervical lacerations - maybe another advantage of delayed pushing...? Ef >At Sat, 17 Nov 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >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 > >Only if there is more bleeding than normal, I have had to repair >cervical lacerations on a half dozen occasions over the last few >decades, most common occasion, primip mom O.P. long second stage and >slow end of first stage delievers O.P. and then get called by midwife >or family doc, they are usually easy to repair and have only had to pack >the lower segment/cervix on two occassions to avoid hyst, have not had >to do a hyst for cervical lacerations yet knock on wood. I get called >for purple object protruding from vagina at least 3-4 times a year which >is almost always the cervix has only been an inverted uterus on two >occasions. Severe cerivical laceration will be visible on speculum >exams for years latter(they don't all Bleed most probably go >unrecognised), they are often reffered for abnormal mass/polyp on the >cervix. Pushing on an anterior lip/rim in a primip O.P. is the classic >set up for a severe cervical laceratiion. > >-- > Take care, John > -- "I can accept failure, but I can't accept not trying." - Michael Jordan Next message: DoctorJoe@aol.com: "Re: Calif. Bar Board Members Butt Heads on Malpractice Insurance Disclosure" Previous message: AllanHo@aol.com: "Re: preteen PCOS" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 2am roundtable discussions" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 2am roundtable discussions"

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