=?ISO-8859-9?Q?Re:_Yanýt:_Re:_Question_for_those_of_you_inserting_IUDs?In-Reply-To: <369913.90446.qm@web33212.mail.mud.yahoo.com>
From: R. Daniel Braun (rd.braun@gmail.com)
Wed Jul 25 20:56:42 2007
All it takes is to have done a hysterectomy on someone 6 weeks postpartum,
then you know how hypervascular the uterus is
On 7/25/07, Dr. Bülent Potur <bpotur@yahoo.com> wrote:
>
> Well Dan,
> I had just tried to emphasize the hypoestrogenic state
> of lactating women and the case's similarity in the
> insertion to a lactating woman in resembling the
> vulnerability of the uteri of lactating women in the
> quoted literature.
> So I do not have the color doppler data of this case
> or the 6 week post partum uteri in general.
> Thank you.
>
> Bulent Potur
>
> --- "R. Daniel Braun" <rd.braun@gmail.com> wrote:
>
> > I would disagree with the "avascular" part of your
> > statement. At 6 weeks
> > postpartum the uterus is still quite HYPERVASCULAR.
> >
> > Dan
> >
> > On 7/25/07, Dr. Bülent Potur <bpotur@yahoo.com >
> > wrote:
> > >
> > > Below is a publication when I had found for a case
> > report of mine. An
> > > IUD diagnosed in the pouch of Douglas with vaginal
> > ultrasound Dirim
> > > Sep-Oct 2002 31-34) The case also was consistent
> > with the majority of
> > > the review below. The IUD had been inserted at
> > 6th week post partum to
> > > a lactating women. When the uterus was so thin
> > and avascular and prone
> > > to perforation The patient had been referred when
> > the strings of the IUD
> > > was not seen at check 2.5 months later insertion.
> > > Bulent Potur MD Obgyn
> > > Kirikkale TURKEY
> > >
> > > 1: Contraception. 1998 Apr;57(4):251-5.Click here
> > to read Links
> > > Perforations with intrauterine devices. Report
> > from a Swedish survey.
> > > Andersson K, Ryde-Blomqvist E, Lindell K,
> > Odlind V, Milsom I.
> > > Department of Obstetrics and Gynecology,
> > Sahlgrenska University
> > > Hospital, Göteborg, Sweden.
> > > This survey comprised 50 consecutive perforations
> > occurring with
> > > intrauterine devices (IUD) reported to the
> > National Patient Insurance
> > > Scheme Register during 1990 to 1993. All 50 women
> > were parous and > 20
> > > years of age at the time of IUD insertion.
> > Forty-two (84%) of the IUD
> > > were inserted by a midwife and eight by a
> > gynecologist. A total of 45
> > > women (90%) had their IUD inserted < 1 year after
> > a full-term pregnancy
> > > and 31 women (62%) had their IUD inserted < or > > 12 weeks after
> > > delivery. Of the 50 women, 27 (54%) reported that
> > they were
> > > breastfeeding at the time of IUD insertion. No
> > particular IUD was
> > > overrepresented in relation to its share on the
> > market. In 31 cases
> > > (62%), severe pain at insertion and during the
> > first 24 h was recorded.
> > > In 14 women (28%), the perforation was diagnosed
> > early (i.e., within 1
> > > month of insertion) and in 36 women (72%), the
> > perforation was diagnosed
> > > > 1 month after insertion. Lower abdominal pain
> > was the most frequent
> > > symptom at early diagnosis but in two cases, the
> > main symptom was heavy
> > > bleeding. Among the 36 women in whom the
> > perforation was discovered
> > > more than 1 month after insertion, the diagnosis
> > was made when an
> > > unexpected pregnancy occurred in 20 women (56%).
> > In 15 cases, the IUD
> > > strings were not visible during pelvic examination
> > at a routine
> > > check-up, which led to efforts to locate the IUD.
> > Thirty-two women
> > > (64%) underwent laparotomy for removal. We
> > conclude that lactating
> > > women seem to be a risk group for perforation and
> > that a national
> > > register of IUD perforations could provide a
> > better means of quality
> > > control.
> > > PMID: 9649917 [PubMed - indexed for MEDLINE]
> > >
> > > At Tue, 24 Jul 2007, GIN11153@aol.com wrote:
> > > >
> > > >Friend asked me about perforation rate. I don't
> > have an answer but
> > > thought
> > > >that it is an accepted complication that is
> > discussed in an informed
> > > consent.
> > > >Your thoughts, please!
> > > >
> > > >Gail Neuman RNC CPHW
> > > >student midwife and student nurse practitioner
> > > >certified high risk OB
> > > >Perinatal Nurse Associates
> > > >801 N. Tustin Ave., Suite 305
> > > >Santa Ana, CA 92705
> > > >(714) 314-7070
> > > >(714) 838-1479 fax
> > > >
> > > >http://discover.aol.com/memed/aolcom30tour
> > >
> >
> > --
> > R. Daniel Braun, MD FACOG(L) CMT
> > Professor Emeritus
> > Dept. of Obstetrics and Gynecology
> > Indiana U. School of Medicine
> >
> > R. Daniel Braun
> >
> > "Science without Religion is LAME; Religion
> > without Science is BLIND"
> > Einstein 1941
> >
>
> Istenmeyen postadan biktiniz mi? Istenmeyen postadan en iyi korunma
> Yahoo! Posta'da
>
--
R. Daniel Braun, MD FACOG(L) CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
--
R. Daniel Braun
"Science without Religion is LAME; Religion without Science is BLIND"
Einstein 1941
