Re: GYN: D&C

From: Efrain Ramirez (eramirez@icepr.com)
Fri Apr 14 16:36:23 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

Not every time but I do try to speak to her or her relative.

>Do you see every abortion before they are discharged
>yes no

Same as # 1 -- I do not do abortions on demand. >Do you perform in a regular basis an US scan after a D&C to assess the
>uterus is empty?
>yes no

No

>Do you perform in a regular basis an US scan after a D&C to be sure the
>uterus is empty?
>yes no

No

>What meaning do you give at a HCG rate < 1000 4 weeks after a D&C or an
>abortion?
>Pathological Residual Uninterpretable Other:...

Depends -- if a suction curettage was done for an embryonic demise of 11 weeks-- or for a blighted ovum done in the office of 7-8 weeks or for AUB -- nevertheless I would do a TVS in the office --and repeat HCG.

>What meaning do you give at an hemorrhage 4 weeks after a D&C or an
>abortion?
>Pathological Residual Uninterpretable Other:...

Depends-- but as Ron said --maybe not related if the bleeding stpped for a whole week --

>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:...

As Ron >
>--
>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
>

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




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