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Re: 2nd trimester fetal demise From: Efrain Ramirez (eramirezt@coqui.net) Wed Jun 28 22:46:03 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: 2nd trimester fetal demise" Previous message: R. Daniel Braun: "Re: 2nd trimester fetal demise" In reply to: Dr. Ainsworth: "2nd trimester fetal demise" Next in thread: Efrain Ramirez: "Re: 2nd trimester fetal demise" I have done pregnancy termination with partial previa - no complications .. doing a hysterotomy is a bit more complicated.. IMHO.. 1: Obstet Gynecol. 1994 Jul;84(1):58-60. Related Articles, Links The effect of placenta previa on blood loss in second-trimester pregnancy termination. Thomas AG, Alvarez M, Friedman F Jr, Brodman ML, Kim J, Lockwood C. Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai School of Medicine, New York, New York. OBJECTIVE: To determine whether placenta previa increases bleeding during second-trimester pregnancy termination. METHODS: The records of 131 consecutive women undergoing elective pregnancy termination at 13-24 weeks' gestation were reviewed and divided into those with and without placenta previa based on an ultrasound examination before the procedure. These two groups were then compared for differences in maternal characteristics, estimated blood loss, operative time, infection, and hospital admission. RESULTS: Twenty-three of 131 women (17.6%) had placenta previa. Sixty-seven percent of the previa patients smoked, versus 37% in the control group, a statistically significant difference. A statistical difference was noted with respect to placenta previa in intraoperative blood loss (P < .05), but not operative time, time to discharge, infection, hemorrhage, or other complications. CONCLUSION: Second-trimester pregnancy terminations in the presence of placenta previa are associated with a higher estimated blood loss, but no apparent increase in abortion-related infection, postoperative transfusion requirements, hysterectomy, or other complications. Ef At Wed, 28 Jun 2006, Dr. Ainsworth wrote: > >I have a patient who is a surrogate mom - donor egg and sperm from the >biological parents, now at 20wks with a fetal demise that probably >occurred one week ago. She has a complete previa. If she wants to >terminate the pregnancy, would you do a D&E with laminaria or try >cytotec? At this point, she is showing no signs of labor and does not >want to continue the pregnancy. If you used cytotec, what dose - >200mcg, 400mcg, 800mcg q6h? Would you try a low dose and work up? Would >you do it as an inpatient with blood available, or as an outpatient >until you begin getting some response? -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: Efrain Ramirez: "Re: 2nd trimester fetal demise" Previous message: R. Daniel Braun: "Re: 2nd trimester fetal demise" In reply to: Dr. Ainsworth: "2nd trimester fetal demise" Next in thread: Efrain Ramirez: "Re: 2nd trimester fetal demise"

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