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Re: Priority in Post partum retained products?From: Braun, R. Daniel (rbraun@iupui.edu)Thu Jan 8 07:21:09 2004
Who are you ? -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Sent: Wednesday, January 07, 2004 7:06 PM To: Multiple recipients of list OB-GYN-L Subject: Priority in Post partum retained products? 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
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