Re: Demise delivery

From: art fougner, md (evsono@pipeline.com)
Thu Jan 15 07:12:21 2004


As an aside, it's fascinating to note how many folks who are so eager to perform D&E with a live fetus are loathe to jump in here? i'd have thought this would be the ideal situation for the so-called "intact D&E" since the fetus is already dead. any folks out there with experience in this situation care to weigh in?

art

At Wed, 14 Jan 2004, Steve & Eryl Raymond wrote: >
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>For goodness sake, who does classical sections, even at 26 weeks, these
>days. 
>
>Why do anything?  The safest is to wait for up to 6 weeks with an eye
>on her platelets in the last fortnight.  If still pregnant then,
>probably repeat the hysterotomy.  I wouldn't stimulate her uterus with
>anything, but a good option before repeating the surgery,  would be to
>insert a foley's catheter in the cervix, blow up the balloon and apply
>traction.  It just might save her another operation.
>Steve
>
>Lynn D. Montgomery, M.D. wrote:
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> Have a patient who is 25 weeks
>gestation with a fetal demise.  Only previous pregnancy delivered at 26
>weeks for severe PIH via classical cesarean section - documented by
>operative report.
> How would everybody deliver?
> Lynn 
>  
>
>--
>S.H. Raymond FRCOG
>Principal Specialist
>Department of Obstetrics & Gynaecology
>Empangeni Hospital
>Private Bag X20005
>Empangeni
>SOUTH AFRICA 3880
>
>Phone: (+27)-35-9028560
>Fax: (+27)-35-7922596
>
>Everyone thinks of changing the world, but no one thinks of changing himself.
>Leo Tolstoy (1828-1910)
>

--
art fougner, md
ich bin ein New Yorker




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