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Re: pregnant African woman with rectovaginal fistula From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Sun Apr 29 17:56:34 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: PMB on coumadin" Previous message: Raymond Stephen: "Re: Abortion? ... here we go again! Sheesh! -->ConLaw now!" In reply to: emilio porro: "pregnant african woman with rectovaginal fistula" Having dealt with many patients with a R-V Fistula both pregnant and non-pregnant I offer my opinion that there is no reason to be concerned about the pregnancy in this case, but not to repair the fistula until the infant is delivered. The next question will be how to deliver, and that will depend on the degree of vaginal scarring left from the original surgery. It sounds as though an elective Caesar will be a distinct possibility. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of emilio porro Sent: Monday, 30 April 2007 6:36 AM To: Multiple recipients of list OB-GYN-L Subject: pregnant african woman with rectovaginal fistula I need Your opinion and experience about management of 9,5 weeks pregnant woman with rectovaginal fistula.Here her medical history:comes from Togo (Africa)-first seen in our Ob-Gyn Department for infertility,uterine fibromatosis and vaginal stenosis with rectovaginal fistula induced by introdiction in vagina of caustic herbs sugggested by a wizard in Togo to cure fibromatosis.First attempt of surgical repair of stenosis and fistula in french missionary surgical department in Togo. Now in Italy our surgical correction of vaginal stenosis and miomectomy.While waiting for surgical correction of rectovaginal stenosis she has become pregnant(first pregnancy). What is Your opininion about management of this pregnancy (first to avoid amniositis with consequent abortion or premature birth)? Thank You in advance Emilio Porro ObGyn M.D. -- Emilio Porro M.D. Ob.Gyn. Como Italy http://www.sanbonaventura.com who,whose, with,what,why,where,when,while,watch world wide web CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: Henry Gregor: "Re: PMB on coumadin" Previous message: Raymond Stephen: "Re: Abortion? ... here we go again! Sheesh! -->ConLaw now!" In reply to: emilio porro: "pregnant african woman with rectovaginal fistula"

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