Re: 2nd trimester losses

From: DoctorJoe@aol.com
Tue Mar 28 20:32:53 2000


In a message dated 3/28/00 6:20:27 PM, nd84md@aol.com writes:

>new patient: 34yo with hx of fullterm delivery followed by 4 losses
>20-24 weeks, three of them with cerclage in place. next viable delivery
>at 27 weeks with cerclage and PROM. last summer had another loss at 22
>weeks with cerclage and PROM. shows up today with a stack of records
>and at 20 weeks. u/s shows cvx with funneled membranes--almost
>hourglassing.. closed external os and anatomically nl fetus.cvx length
>2.8cms. think a cerclage is the answer at this late date with the above
>poor hx? any suggestions.

Sounds like candidate for full court press with cerclage, massive search and destroy infections, and tocolytics because you can. (Assuming the babies were all alive and healthy up until the end... no IUFDs or IUGRs).

Joe P.





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