WOMENS-HEALTH Messages for January, 1998: Re: Proper patient management

Re: Proper patient management

From: Kelly (anonymous@obgyn.net)
Wed, 7 Jan 1998 20:35:39 -0600 (CST)

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In reply to: Lorna: "Proper patient management"
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Reply: Lorna: "Re: Proper patient management"

At Wed, 7 Jan 1998, Lorna wrote: >
>30 year old primigravida. History of Laser Conization, PID, and Prostin
>Induction for previous stillborn. Now is 5wks into new pregnancy, only
>3 months since demise. What would be your suggestions for management?
>Would you consider this a high-risk? Anybody with a prior demise I consider high risk.

Should it be considered a risk for >possible incompetant cervix complications? History of conization increases the risk of incompetent cervix. Any problems attributable to incometence with last pregnancy?

Should a cerclage be >suggested? Not necessarily. Check cervical length both digitally and with ultrasound if there is no suggestion of an incopetnet cervix in past pregnancy.

I would appreciate all courses of management, but would like >to know what the recommended course would be for this case.

Are you a medical professional? If so, go the the med professional's side and post your questions on obgyn-l -- you'll get lots of advice over there. If you are a lay person, be sure to ask your doctor these questions.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered.

Next message: Kelly: "Re: Post Hysterectomy Bone Density Test"
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