Re: GYN: D&C
From: DoctorJoe@aol.com
Fri Apr 14 15:49:30 2000
In a message dated 4/14/00 3:45:34 PM, ainsron@msn.com writes:
>>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
I think I echo everything Ron said.
Joe P.
