Re: 2 questions
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Oct 11 07:20:02 2002
Was there funneling in the US? - What was the cervical length?
Antibiotics - Indocin? Rich - maybe I would have done the same - I just
thought that the lady maybe have had preterm labor -
>At Fri, 11 Oct 2002, Richard Chudacoff, MD wrote:
>
>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
>> >
>> >**********************************************************************
>> >Neither the confidentiality nor the integrity of this message
>> >**********************************************************************
>> >**********************************************************************
>> >can be guaranteed following transmission on the Internet.
>> >**********************************************************************
>> >
>> >**********************************************************************
>> >
>>
>> --
>> "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
>
--
"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
