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Re: Uterus in or out?From: AllanHo@aol.comMon Oct 22 22:11:48 2007
In a message dated 10/22/2007 7:05:58 AM Eastern Daylight Time, eramirezt@coqui.net writes: No - I am just asking how you do it in a vaginal delivery? Ef
>At Sun, 21 Oct 2007, AllanHo@aol.com wrote: It is usually ugly if I had to clean out a uterus after a vaginal birth. So I'd rather not go there. On the other hand, I would hate myself if something was left behind a wide open uterus because I did not give it a good wipe. Having said that, I do leave the uterus inside from time to time especially for obese women. That's when it doesn't feel so satisfying cleaning the cavity. I do not routinely remove the placenta manually, so atony is not usually a problem. When the uterus is not well contracted, then the uterus has to be exteriorized for compression anyway. When the uterus is outside, the intestines don't seem to get into the way of the repair too often. Less manipulation of the intestines, less chance for post op problems. So I still favor exteriorizing the uterus... I say tomayto, you say tomahto, let's call the whole thing off... I am done. Let's argue (oops, I mean discuss) about something else. Allan Allan
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