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

Re: Proper patient management

From: Lorna (anonymous@obgyn.net)
Thu, 8 Jan 1998 16:16:51 -0600 (CST)

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In reply to: Kelly: "Re: Proper patient management"

At Wed, 7 Jan 1998, Kelly wrote: >
>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.
>Dr. Thank You for your answers regarding my question. They were extremely helpful. I am doing a case study for school. I am not yet a Dr. so I can't go to the medical prof. side just yet. I am interested in your experience with prostin induction. Have you ever seen patients have complications or damage to the cervix from these inductions? I am interested because I recently read a article in Nursing Spectrum (a continuing education journal)that suggests this. Is this common? Again, thank you.
Lorna

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