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Re: GYN: D&CFrom: ainsron@msn.comFri Apr 14 15:43:25 2000
At Fri, 14 Apr 2000, Bernard Cristalli wrote: > >Dear List mates, >An express poll on your standards of care, we had the same discussion among >our group. > >Do you see every D&C before they are discharged >yes no NO, they are same day service , I usually speak to them briefly in the recovery room and/or family, but they are discharged when stable w/o further visits > >Do you see every abortion before they are discharged >yes no I don't do abortions > >Do you perform in a regular basis an US scan after a D&C to assess the >uterus is empty? >yes no Not unless indicated by prolonged bleeding, etc. > >Do you perform in a regular basis an US scan after a D&C to be sure the >uterus is empty? >yes no NO, unless pathology showed unexpected findings, such as absent villi, decidual reaction only, ... > >What meaning do you give at a HCG rate < 1000 4 weeks after a D&C or an >abortion? >Pathological Residual Uninterpretable Other:... Uninterpretable, I would repeat it in 3-4 days to see if its changing and do an vaginal probe ultrasound. > >What meaning do you give at an hemorrhage 4 weeks after a D&C or an >abortion? >Pathological Residual Uninterpretable Other:... Uninterpretable, if the bleeding had stopped completely for a week or so, its probably not related to the previous surgery or retained POC. Evaluate as any other "hemorrhage." > >What meaning do you give at the presence of decidua and chorial villosities mixed with normal endometrium 1 month after a D&C or an abortion? >Pathological Residual Uninterpretable Other:... New pregnancy, retained POC > >-- >Bernard Cristalli MD AMACOG >AIHP - ACCA >Paris France >Bernard.Cristalli@CliniquedelEssonne.fr >http://www.CliniquedelEssonne.fr >http://www.obgyn.net/corresp/cristalli.htm >http://www.gyneweb.fr >'64 Mk2 3.8 >
-- Ronald E. Ainsworth, MD
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