Re: Cervical insufficiency vs preterm uterine contractions or both??

From: Efrain Ramirez (eramirezt@coqui.net)
Wed Aug 31 06:46:04 2005


I agree..

>At Tue, 30 Aug 2005, Charlie Chambers wrote:
>
>At 18 weeks, with bleeding, this is a threatened AB. Not sure what
>the purpose of the antibiotics/Indocin/Bed rest will accomplish.
>Would not be in favor of the cerclage.
>On Aug 30, 2005, at 8:59 PM, Ingrid Gold wrote:
>
>> FFN at 18 weeks?
>>

>>>> ----- Original Message ----- From: "Efrain Ramirez"
>> <eramirezt@coqui.net>
>> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
>> Sent: Tuesday, August 30, 2005 8:19 PM
>> Subject: Cervical insufficiency vs preterm uterine contractions or
>> both??
>>
>>> 20 some years old G3, P1, Ab 1 (sab at 14 weeks) currently 18 weeks,
>>> twins - mild bleeding a few days ago- hospitalized - placed on
>>> antibiotics, Indocin- bed rest - Cx length 1.8 -- now at 2.45 -
>>> positive
>>> fFN. .. her fundal height is obviously > 20 weeks size - one of my
>>> partners was in favor of doing a cerclage because he believes she has
>>> cervical insufficiency - I do not favor it .. It's my understanding
>>> that she has premature contractions - my question is - would you give
>>> tocolysis e.g. Procardia now or would you go by the book and wait
>>> until
>>> she has 20 weeks ..
>>> --
>>> "Character may be manifested in the great moments, but it is made
>>> in the small ones."
>>> - Phillip Brooks
>>> ~walt whitman~
>>
>************************************************************************
>****
>

>--
>************************************************************************
>Charlie Chambers
>Hood River, OR

>cchamber@alumni.rice.edu
>
>"Almost anything you do will seem insignificant but it is very important
>that you do it....You must be the change you wish to see in the world"
> -- Mahatma Ghandi.
>************************************************************************
>*******
>************************************************************************

>

--
"Character may be manifested in the great moments, but it is made in the
small ones."

- Phillip Brooks

~walt whitman~





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