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Re: cervical length in twins From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca) Thu Jan 29 16:30:41 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: David Priver, MD: "Re: cervical length in twins" Previous message: art fougner, md: "Re: Dr. Gertie F. Marx, Helped Advance The Use Of Epidural" In reply to: Charlie Chambers: "cervical length in twins" Next in thread: David Priver, MD: "Re: cervical length in twins" Reply: David Priver, MD: "Re: cervical length in twins" At Thu, 29 Jan 2004, Charlie Chambers wrote: > >Curious how others would manage this patient. 24 year old with twin >gestation at 28 weeks otherwise no risk factors including no preterm >deliveries. To date, pregnancy has been uneventful and diamniotic twins >remain concordant with good growth. Comes in for routine clinic visit. >She has absolutely no complaints. > >Question 1. >Would you do cervical length measurement routinely? No. Who knows what normal cervical lenght is for twin gestation at 28 weeks, I don't and I make it a point not to order a test if I don't know what the normal value is and how to act on it. > >Question 2. >If done, and measurement is 1-1.5 cm, and patient still denies >contractions, what would you do? Nothing as I tell all twin Mom's that they are at risk for premature delievery. > >Question 3. >You are in a small hospital that handles 36 weeks and greater, would >you transfer care immediately if upon digital exam, she is found to be >1 cm dilated? Only 1 cm we should be so lucky, but in all seriousness tranfer would depend how close the nearest high risk center is and how the patient feels about all this. I would give her some celestone and ask for a consult from a perinatologist at the center she would be transfered to in the event she did go into prem labour. -- Take care, John Next message: David Priver, MD: "Re: cervical length in twins" Previous message: art fougner, md: "Re: Dr. Gertie F. Marx, Helped Advance The Use Of Epidural" In reply to: Charlie Chambers: "cervical length in twins" Next in thread: David Priver, MD: "Re: cervical length in twins" Reply: David Priver, MD: "Re: cervical length in twins"

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