Re: new case

From: art fougner, md (evsono@pipeline.com)
Thu May 25 13:22:36 2000


one really wonders if the problem with the uterus was causally related to the fetal demise. i guess we'll never know. sad case indeed.

art

At Thu, 25 May 2000, Webmidwife wrote: >
>What an interesting case. Thanks for sharing it.
>Pat Sonnenstul, ARNP, CNM, MS

>>----- Original Message -----
>From: "Betsy Hyde" <elishyde@connix.com>
>To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@forum.obgyn.net>
>Sent: Thursday, May 25, 2000 10:29 AM
>Subject: Re: new case
>
>> At 7:25 AM 5/25/00, Gail Waldby wrote:
>> >I am not sure that you have excluded uterine rupture with your work-up.
>> >Fluid throughout the abdomen could possibly be blood, although I guess,
>> >the CT numbers should differentiate between ascites and blood.
>> >Gail Waldby, MD
>>
>> Gail gets the prize.
>>
>> The hct continued to drop and she was taken to the main OR. Had 2L blood
>> and clots in her peritoneal cavity, and a posterior uterine rupture that
>> went from the fundus to the cervix.
>>
>> Now, except for a D&C many years ago, this woman had never had any
>> instrumentation to her uterus.
>>
>> I guess we will never know whether she ruptured, and that caused the
>IUFD,
>> or whether the rupture was due to the misoprostol. The symptoms of
>> tachycardia and pain only began following her 2nd miso dose.
>>
>> Betsy Hyde CNM
>> Branford, CT
>>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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