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Re: Normal delivery and uterine rupture after c-sectionFrom: Braun, R. Daniel (rbraun@iupui.edu)Fri Feb 25 04:28:00 2005
Observation No more VBAC's for her. R. Daniel Braun, MD "If everyone likes you, you're doing something wrong." Kinky Friedman I believe a self-righteous liberal or conservative with a cause is more dangerous than a Hell's Angel with an attitude. Andy Rooney -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Ricardo Savaris Sent: Thursday, February 24, 2005 3:48 PM To: Multiple recipients of list OB-GYN-L Subject: Normal delivery and uterine rupture after c-section Dear all, I has been a long time since my last e.mail, but I have seen the msg. This is the following case. A 27yold, had a normal delivery 10 days ago. She has a previous c-section 2 years ago. She arrives at the ER complaining of vaginal bleeding, and pain. On PE: abdomen: low intensity pain over suprapubic region. Epiotomy painfull, moderate bleeding. US: show a 5cm uterine gap, suggestive of uterine rupture. Free fluid in the abdominal cavity. I just order CBC, no signs of local or systemic infection. Suggestions?
-- Ricardo Savaris, MD Porto Alegre - Brasil
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