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Re: Incompentent Cervix? From: Peter Wein (pwein@unimelb.edu.au) Sat Jun 25 20:41:44 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Carpenter, Jr. MD: "Re: Incompentent Cervix?" Previous message: DoctorJoe@aol.com: "Re: Incompentent Cervix?" In reply to: Richard D. Kaplan: "Incompentent Cervix?" The available evidence suggests that you are just as good to follow her with fortnightly scans of cervical lenght and only insert sutre if shortens. However, she might feel more comfortable with stitch now - woudl give her the options. -- Peter Wein Richard D. Kaplan wrote: > I have a patient who has had 4 full term deliveries. In her 1st > pregnancy she had some mild cramping at 25 weeks and an exam revealed > a 2cm dilated cervix, 90%effaced with membranes firmly against the > os. I performed a rescue cerclage, put her on oral terbutalene (for > whatever good that does) and she delivered at 38 weeks, one week after > I removed the cerclage. > In her subsequent pregancies I placed prophylactic cerclages early > in the 2nd trimester and she carried all these pregnancies to term and > usually several weeks after the cerclages were removed. > She is pregnant again and asked me if I really felt that cerclage > was necessary. I gave her my opinion but told her I would ask my > colleges on the internet. Thanks in advance for your imput. > > Richard Kaplan, MD > Greensboro,NC Next message: Robert J. Carpenter, Jr. MD: "Re: Incompentent Cervix?" Previous message: DoctorJoe@aol.com: "Re: Incompentent Cervix?" In reply to: Richard D. Kaplan: "Incompentent Cervix?"

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