Re: 2 questions

From: Efrain Ramirez (eramirezt@coqui.net)
Thu Oct 10 18:41:20 2002


Why the cerclage? >>

At Thu, 10 Oct 2002, Richard Chudacoff, MD wrote: >
>28 YO G2P0, with an 18 week loss secondary to PROM less than one year ago
>returned to my office at 22 weeks estimated gestational age. Her prenatal
>examination noted a slightly dilated external OS, and that weekend she had
>been tinged vaginal discharge. I reexamined her and her external OS seemed
>slightly more dilated, and therefore I put a cervical cerclage in her two
>days ago. Part of her preoperative evaluation I got a fetal fibronectin so
>I could have a baseline. Wouldn’t you know it, but it came back positive.
>I have her on Indocin for 48 hours postop, but now what do I do?
>
>Second question: have you heard of this, and is anybody doing this in
>Houston? Tolerance-hyperbaric test (THT) that finds gestational hypertension
>and preeclampsia 23 weeks earlier than would be suspected clinically.
>
>--
>Richard Chudacoff, MD, FACOG
>
>Chudacoff Obstetrics & Gynecology, PLLC
>15200 Southwest Freeway, #270
>Sugar Land, TX 77478
>
>Tel: 281-277-3900
>Fax: 281-277-3901
>
>rchudacoff@mylinuxisp.com
>Richard.Chudacoff@obgyn.net
>
>http://www.mdhub.com/281-277-3900
>http://www.chudacoffobgyn.yourmd.com
>
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