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Re: 2am roundtable discussions From: Efrain Ramirez (eramirezt@coqui.net) Sun Nov 18 02:20:32 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: i am looking for services to quit medicine and take up" Previous message: Dr Eberhard Lisse: "Unnecessary Practices" In reply to: AllanHo@aol.com: "Re: 2am roundtable discussions" Next in thread: Raymond Stephen: "Re: 2am roundtable discussions" Reply: Raymond Stephen: "Re: 2am roundtable discussions" At Sat, 17 Nov 2007, AllanHo@aol.com wrote: >This reminds me of another related clincal practice. During the early part >of my resdiency, we used to check the uterine scar from the vagina after a >VBAC. We also stopped doing that rountinely if there was no abnormal bleeding >afterwards. >Lastly, I want to share a clinical practice that I do (without being >taught). After a cesarean section, I always do a vaginal exam after closing up the >patient. I do that because I want to make sure the cervix is open and that >no blood clot is left inside the uterus. During residency, I was taught to >push a pair ring forceps from above through the cervix to make sure the cervix >is open. But I didn't like it as I feel more contamination may be brought up >from the vagina. Doing a vaginal exam myself may take another minute or >two, but it reduces the chance of being called back later for a problem. > >Allan I don't do VBAC's anymore... I don't do vaginal exams after C/S ... the ring forceps.. did them a few times during residency.. Ef -- "I can accept failure, but I can't accept not trying." - Michael Jordan Next message: Joanne Bulley, MD: "Re: i am looking for services to quit medicine and take up" Previous message: Dr Eberhard Lisse: "Unnecessary Practices" In reply to: AllanHo@aol.com: "Re: 2am roundtable discussions" Next in thread: Raymond Stephen: "Re: 2am roundtable discussions" Reply: Raymond Stephen: "Re: 2am roundtable discussions"

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