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Re: Normal delivery and uterine rupture after c-section From: ravi prasad (rpthota@yahoo.com) Fri Feb 25 10:51:06 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Normal delivery and uterine rupture after c-section" Previous message: Braun, R. Daniel: "Re: Normal delivery and uterine rupture after c-section" In reply to: Ricardo Savaris: "Normal delivery and uterine rupture after c-section" Next in thread: RModugno@aol.com: "Re: Normal delivery and uterine rupture after c-section" Dear Doctor, I am a Gynaecologist working in a very busy Teritiary care hospital, and we have at an average 3 to 4 C sections every day. Our Caesrean rate is about 20%. All our patient are booked and under strict and regular Antenatal care. Generally we do not prefer giving a trail to a Post caesarian Pregnancy unles she is already in advance stage of Labour. Our Maternal Mortality is very minimal comparable to any Advanced country. If I have to manage u r case I will prefer to open her up do a proper repair of the rupture and Put her on suitable antiiotics and be comfortable. I dont want to stay in dark with a false sense of security that the rupture will close by it self. Thanking you. Ravi Prasad Dr Ravi Prasad HOD Dept of Obst and Gynae Command Military Hospital, Lucknow. India --- Ricardo Savaris <rsavaris@hcpa.ufrgs.br> wrote: > 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 > Tired of spam? Yahoo! Mail has the best spam protection around Next message: art fougner, md: "Re: Normal delivery and uterine rupture after c-section" Previous message: Braun, R. Daniel: "Re: Normal delivery and uterine rupture after c-section" In reply to: Ricardo Savaris: "Normal delivery and uterine rupture after c-section" Next in thread: RModugno@aol.com: "Re: Normal delivery and uterine rupture after c-section"

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