Re: Amazing case!

From: Dr. Bülent Potur (bpotur@ttnet.net.tr)
Tue Nov 11 06:46:44 2003


Though I have no experience in fetal surgery, but what about opening the patient, relaxing the uterus and putting back the bag and primarily repairing the weakened uterine wall and continue with the pregnancy?

>At Tue, 11 Nov 2003, Braun, R. Daniel wrote:
>
>Watch her very closely (Continuous monitoring) in the unit. Get a dose
>of steroids on board. Doc who can do C/S always in the unit. Deliver
>with signs of distress.
>
>Dan
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Lynn
>Montgomery, M.D.
>Sent: Monday, November 10, 2003 7:56 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Amazing case!
>
>Listers,
>Lets just say that this is a hypothetical:
>
>Patient at 26 weeks gestation with five previous cesarean sections - two
>of them classical. Presents with low abdominal pain. MRI shows what is
>interpreted as "thinning of the lower uterine segment with apparent
>protrusion of the amniotic membranes through the segment". No
>contractions, ongoing pain, no fetal issues.
>
>What would you do? You can't offend me cause it is only a hypothetical
>and not my hypothetical... Lynn
>
>--
>Lynn D. Montgomery, M.D.
>Rocky Mountain Women's Health
>Missoula, Montana
>

--
Bülent Potur M.D. Obgyn.
http://medpages.obgyn.net/docdetail.cfm?sn=424




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