Re: 2nd trimester losses

From: Efrain Ramirez (eramirez@icepr.com)
Tue Mar 28 20:24:16 2000


Were Shirodkars done before -- if not --why not try in this one?

At Tue, 28 Mar 2000, Garry Siegel wrote: >
>>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
>

--
"The things you learn after you know everything are the important ones"




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 04:43:51 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.