Re: BTL in Pregnancy

From: Larry Glazerman (l.glazerman@rcn.com)
Thu Jan 20 11:47:54 2000


In PA, that's only a law for medical assistance patients. In general, a good policy, but not law here.

At 10:33 AM 1/20/00 -0600, you wrote: >In California, and I think anywhere in the USA, tubal ligation can only
>be done at the time of emergency surgery if the patient has previously
>been counselled and signed sterilization consent forms, at least 72
>hours before the emergency surgery. Obviously, that doesn't mean that
>you cannot remove a tube if an ectopic is present, but you cannot legaly
>"tie" the other tube. That begs the question on whether or not
>emergency sugery is even indicated on this patient, and without more
>details, . . .
> >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.
>
>--
>Ronald E. Ainsworth, MD

--
Larry R. Glazerman, MD
Ob-Gyn at Trexlertown
610-402-0161
l.glazerman@rcn.com




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