Re: GYN: D&C
From: Jim Connerth (babydoc@apex.net)
Fri Apr 14 21:57:51 2000
ainsron@msn.com wrote:
> 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 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 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?
> 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?
> 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?
> 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?
> ... 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 Uninterpretable Other:... 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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