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Re: cervical prolapse From: Andrew Folley (agfolley@hotmail.com) Thu Dec 22 14:17:01 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jamie: "Re: Not really Kick Counts" Previous message: Myer S. Bornstein: "Re: Not really Kick Counts" In reply to: marin tane: "cervical prolapse" Next in thread: Dr Eberhard W Lisse: "Re: cervical prolapse" Reply: Dr Eberhard W Lisse: "Re: cervical prolapse" Reply: R. Daniel Braun: "Re: cervical prolapse" The problem requries creative solutions. Continue the diclenfenac bid until 36 weeks. Besrest will probalby be her best friend as gravity is the enemy. Try to devise a homemade pessary. Use something inert as possible such as plastic from a cup or coke bottle etc. Possibley a tennuis ball, anything to give support to lower pelvic area without inducing infection. May be good to give steroids now if you have them eithre IM or something po. >From: marin tane <sednatane04@yahoo.com> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: cervical prolapse >Date: Wed, 21 Dec 2005 23:03:36 -0600 > >I am working in Afghanistan at a maternity hospital and I have a patient G3 >P2 who has a cervical prolapse. She has now been with us for 9 days. We >have managed to reduce the cervix and it is back in the vagina. We are >giving her diclenfenac and she is on bed rest with bathroom privileges. We >are packing the vagina with gauze daily to help hold the cervix in place. >We do not have access to a ring or even a diaphragm to help hold it in >place. This has happened for her with her last two pregnancies. Both of >her babies died after a premature delivery. She is now 6 1/2 months >pregnant. We are trying to keep her pregnant as long as we can as there is >not much in the way of prem care here. The FHR is reassuring and the >movement is good. My question is how long can we safely give the >diclenfenac. She is receiving 50mg bid now and we try not to give it >everyday. But when we stop it does start to prolapse again. Also is there >anything else I can do. We are concerned ab! >out > sending her home as when she first arrived she had an infected cervix. >We have treated that. She has a Hb of 7 so we have given her one unit of >blood. I have read the literature and this is as much as I could find. Is >to treat with anti-inflammatory and bed rest. Any thing else? > > Leslie Hawkins > Senior Midwife/Maternity Hospital Manager > Emergency NGO > Anabah, Afghanistan > >Tired of spam? Yahoo! Mail has the best spam protection around Next message: Jamie: "Re: Not really Kick Counts" Previous message: Myer S. Bornstein: "Re: Not really Kick Counts" In reply to: marin tane: "cervical prolapse" Next in thread: Dr Eberhard W Lisse: "Re: cervical prolapse" Reply: Dr Eberhard W Lisse: "Re: cervical prolapse" Reply: R. Daniel Braun: "Re: cervical prolapse"

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