Re: Uterine perforation case opinions

From: Joanne Bulley, MD (islesannie@yahoo.com)
Wed Aug 31 19:37:48 2005


I agree with Charlie - fascinating case - great presentation by you.

As far using the term "IUFD" ... isn't it an "embryo" until organogenesis is complete? So we don't call it a fetus until that time ... 12 weeks (or so). I agree that we should not "overcall" something an IUFD. It is still a loss and there is grieving but it isn't an IUFD.

I think that even if something is done for the defect it has to be only after it is allowed to totally heal from the current event. 8 weeks minimum -- probably more like 3-6 months. Not sure a repair will make a different in the next outcome.

George Morely: "A difference to be a difference must make a difference"

Joanne

At Wed, 31 Aug 2005, Hugo D Ribot Jr wrote: >
>Ingrid,
>
>I don't understand about it being a typo. She was followed with
>ultrasounds from early on, had a visible fetal pole with cardiac
>activity, then @ 10 weeks had a fetal demise. I call that an IUFD, but
>I also agree with Dan that a correct term is missed abortion.
>
>I think the doc who did the D&E maybe didn't do an exam under anesthesia
>immediately prior to the D&E and directed the dilators and cannula
>anteriorly in this retroverted possibly slightly retroflexed uterus and
>voila.
>
>How about some of you big laparoscopists? Marco? Glenn?
>
>Hugo
>
>--
>Hugo D. Ribot Jr., M.D., FACOG
>Cartersville, Georgia
>Private practice since 1990
>2 MDs/3 CNMs
>

--
Joanne Bulley, MD
Keene, NH, USA

"Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974).





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