Re: 2 questions
From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Thu Oct 10 19:26:49 2002
Cervix dilated, and past history of spontaneous PPROM at 18 weeks. I wanted to
do something, as I thought the PPROM could have been secondary to
incompetence. What would you have done?
Efrain Ramirez <eramirezt@coqui.net> said:
> 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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> >
>
> --
> "Life is neither the notes nor the silence between the notes, but the music
that
> arises out of sound and silence felt as a living whole. Stop
choosing...between
> chaos and order, and live at the boundary between them, where rest and
action
> move together..." David Whyte
>
--
Richard Chudacoff, MD, FACOG
Chudacoff Obstetrics & Gynecology, PLLC
