Re: BTL in Pregnancy

From: Braun, R. Daniel (rbraun@iupui.edu)
Thu Jan 20 04:46:27 2000


The tubal shouldn't be any problem once you are there. What is forcing you to get there? You didn't say anything about hemodynamic instability just pain and a small amount of fluid in cul-de-sac. I think I would observe closely.

Dan

R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202

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-----Original Message----- From: amt104@hotmail.com [mailto:amt104@hotmail.com] Sent: Thursday, January 20, 2000 5:18 AM To: Multiple recipients of list OB-GYN-L Subject: BTL in Pregnancy

A 38 y/o G5P4(4004) at 8 wks AOG admiited for hypogastric pain. Transvaginal ultrasound reveals an intact intrauterine pergnancy, cystic right ovary, minimal cul de sac fluid.

Patient is for explor lap, to consider bleeding corpus luteum cyst, requested sterilization, doesn't matter for her if she aborts or not.

In this kind of situation, can bilateral tubal ligation be done, knowing all the effects of pregnancy to the pelvic organs?

Your expert opinions please.

thank you.





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