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Re: Priority in Post partum retained products? From: Charlie Chambers (cchamber@gorge.net) Wed Jan 7 17:25:14 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: perplexing clear fluid" Previous message: Joanne: "Priority in Post partum retained products?" In reply to: Joanne: "Priority in Post partum retained products?" Next in thread: Joanne Simich: "Re: Priority in Post partum retained products?" Reply: Joanne Simich: "Re: Priority in Post partum retained products?" Joanne I think that an ultrasound can be helpful. However, if I clinically suspect retained products, then I don't care what the ultrasound shows. I think your instincts are quite correct. Retained products will respond with removal of the tissue. All the abx in the world won't help, if there is a big hunk of placenta still stuck to the fundus. ************************************************************************ * Charlie Chambers -- Hood River, OR cchamber@alumni.rice.edu "No matter where you go... there you are." Dr. Buckaroo Banzai ************************************************************************ On Jan 7, 2004, at 4:05 PM, Joanne wrote: > Hello > > I would like to know what is the criteria for ordering D and C's for > post partum retaining of products. Case history on my patient: Baby > born- Dec 16th 03 , Placental tissue passed Jan 5th 04 . Hospital that > did the delivery said:" take Antibiotics, because you have an > infection" > So she went to a local General Practitioner (these are M.D's) in > Australia who took a vaginal swab, ordered an Ultrasound, wants her on > AB's before the results come back, and is talking about possibility of > D > and C. > > I want to know of how much value you think an U/S is in this situation, > and are A/B's really called for here? My clinical opinion is get her in > , do a D and C asap and stop stuffing around with this situation. That > opinion is based on my own experience. After both my children, it was > retained products diagnosis. First delivery, I had a family friend who > was a top Obstets doc in Auckland NZ. As soon as I called him and told > him, well i passed a 2 " diam piece of something or other" He put me in > hospital immediately - D and C, done and no problems from that point > on. > The second child, not under the same doctor, - post partum bleeding for > 6 weeks, then D and C ordered. All of this was without A/Bs > > Also what value do you think an ultrasound is going to be at this > stage? > > So would like to get your opinions please. > > Thanks > > Kind regards > Joanne > Next message: Charlie Chambers: "Re: perplexing clear fluid" Previous message: Joanne: "Priority in Post partum retained products?" In reply to: Joanne: "Priority in Post partum retained products?" Next in thread: Joanne Simich: "Re: Priority in Post partum retained products?" Reply: Joanne Simich: "Re: Priority in Post partum retained products?"

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