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Re: 2nd trimester lossesFrom: Garry Siegel (garrys@mindspring.com)Tue Mar 28 19:44:36 2000
>2.8cms. think a cerclage is the answer at this late date with the above >poor hx? any suggestions. Our MFM consultant would (I think): 1. Admit to bedrest/trendelenberg or at least head down 2. Monitor for contractions, low threshhold to start Mag Sulfate and/or Indocin (short course) 3. If stable overnight, and not contracting, perform rescue cerclage with large foley balloon under sonar guidance to reduce the membranes (yes, I know that they are not external to the os--put the foley through, and inflate the bulb, and then stitch it, deflate and pull the balloon. 4. Antibiotics for a week or two Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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