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Re: Checking cervices at term From: Dr Eberhard Lisse (el@lisse.NA) Mon Feb 27 14:15:08 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: UK Pap rules was Sexual abuse was Spanking babies" Previous message: GA12L@aol.com: "Re: The Death of the Canadian Model" In reply to: Garry E. Siegel, M.D.: "Checking cervices at term" Next in thread: Garry E. Siegel, M.D.: "Re: Checking cervices at term" Reply: Garry E. Siegel, M.D.: "Re: Checking cervices at term" Reply: Efrain Ramirez: "Re: Checking cervices at term" on 2/27/06 8:27 PM Garry E. Siegel, M.D. said the following: > I check because: > > 1. Many patients want me to/are used to it. If they don't want me to, > I don't unless overdue. Crap! > 2. Nice to know that they're vertex, although this is not perfect, and > yes, midwives, the cervical exam is done in concert with Leopold's. Nonsense, Ultrasound does exist. And the vertex of Wednesday last week in the G4P3 turned out to be a breech today. > 3. Nice to know what their "baseline" is when the primigravida calls > after hours with few contractions. The one who was 3/90% might go to L > and D; the long/closed one would be encouraged to wait longer. Well, my patients go to L&D when they are in active labour. > I am AMAZED at home many people kind so many reasons NOT to check a > cervix. For instance, one of our CNMs saw someone with "a few > Braxton-Hicks) at 30 weeks, who had been bleeding intermittently from a > polyp. She also had a retroplacental bleed at 15 weeks. Long story > short, she delivered a week later. Now, who knows if a cervical exam > might have detected anything, but I submit that it MIGHT have helped, > and would have been unlikely to have hurt her situation. Again, when in > doubt, take a history, review the chart, and do the examination! I really am amazed at your prowess to diagnose retroplacental bleeds with a vaginal examination. And to exclude placenta previa. el Next message: Dr Eberhard Lisse: "Re: UK Pap rules was Sexual abuse was Spanking babies" Previous message: GA12L@aol.com: "Re: The Death of the Canadian Model" In reply to: Garry E. Siegel, M.D.: "Checking cervices at term" Next in thread: Garry E. Siegel, M.D.: "Re: Checking cervices at term" Reply: Garry E. Siegel, M.D.: "Re: Checking cervices at term" Reply: Efrain Ramirez: "Re: Checking cervices at term"

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