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Re: OB: Clinical scenario -- Incompetent Os From: art fougner, md (evsono@pipeline.com) Mon Oct 9 14:35:15 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joe: "Re: Clinical scenario" Previous message: Larry Glazerman: "Re: Clinical scenario" In reply to: DoctorJoe@aol.com: "Re: OB: Clinical scenario -- tangential thinking" Having seen the so-called incompetent cervix opening and closing during the same ultrasound exam, I'd offer that there's considerable overlap between preterm labor and incompetent os. Art At Mon, 9 Oct 2006, DoctorJoe@aol.com wrote: > >In a message dated 10/9/2006 12:43:49 P.M. Central Standard Time, >arellano@netverk.com.ar writes: > >Beyond the semantic issue, I think that all we could agree in this point: >any patient (term or preterm) who reach 7 - 8 cm of cervical dilatation is >in >labor. Where is the difference? to do it in 3 hours or 3 days. > >Well, not changing MY vote (for delivery at 37 weeks -- AROM or >augmentation, either way), let me cloud the issue by taking exception to the above: > >How about someone (preterm, certainly, but maybe even "near" term) who has >an incompetent cervix? They might dilate to 7-8 cm without significant >contractions, right? Isn't that the definition, almost, of cervical incompetence? > >In the patient under discussion here, suppose she has some "variant" of >incompetent cervix and painlessly dilates, with minimal contractions (certainly >minimal "clinical labor"), but at a later gestation than we usually worry about > with incompetent cervix. After all, Mother Nature places people on the "bell > curve" and sometimes you're way to the left and sometimes you're way to the >right. > >Joe P. -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: Joe: "Re: Clinical scenario" Previous message: Larry Glazerman: "Re: Clinical scenario" In reply to: DoctorJoe@aol.com: "Re: OB: Clinical scenario -- tangential thinking"

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