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Re: Post Partum BTLFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Wed Feb 28 05:01:58 2007
At Tue, 27 Feb 2007, Richard Kaplan wrote: > >About 6 months ago I had to abandon a post partum BTL on an obese patient >who was close to 36 hours post delivery because her fundus had involuted to >the point where I could not palpate it or find the tubes through my >subumbilical minilap incision. This morning I cancelled a BTL on another >obese patient 24 hours post partum when her fundus palpated well below the >umbilicus (14-16 wks.) and I was afraid that I would have the same problem. >She was happy to schedule a laparscopic procedure in 5 weeks. My partners >think I'm a woos. Have any of you had similar experiences? > >-- >Richard Kaplan > Trying to get an operative for a minor procedure after a vaginal birth is like trying to pull teeth were I work so I have stoped trying; not to mention having to keep the mom fasting, not to mention all the small studies the WHO and Cochrane used to show a highier failure rate for early post partum tubals. If thier bellies are not already open ie. c-section I don't bother.
--
Take care, John
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