Re: new case

From: Richard D. Kaplan (rkaplan@triad.rr.com)
Sun May 28 13:03:05 2000


>----- Original Message -----
From: Scott Wiersma <donald.wiersma@misawa.af.mil> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: Friday, May 26, 2000 1:00 AM Subject: Re: new case

> ....At laparotomy they found the body of the infant extruded through a
uterine > ruture and into the abdominal cavity while the head was still stuck
> outside the vagina. It may have been not just cervix but actually
> uterus itself contracting around the baby and preventing delivery until
> you turned the pit off.
>
> --
> Scott Wiersma, MD, FACOG
> Misawa Air Base, Japan

Back in 1975 when I was an intern I was involved in a 2nd trimester Ab that was induced with intraamniotic prostagladin. After delivery her cervix looked raw and irregular but was not actively bleeding, but there appeared to be a small bleeing laceration above the cervix that I controlled with a figure of eight suture while the 2nd year resident looked over my shoulder. She spiked a fever 2 days later and on pelvic we found that my suture was (you guessed it) on the cervix and she had aborted through a laceration in the posterior lower segment.

Richard Kaplan Greensboro, NC





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