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Re: 2am roundtable discussionsFrom: AllanHo@aol.comSun Nov 18 21:49:01 2007
In a message dated 11/18/2007 5:28:23 PM Eastern Standard Time, stephen.raymond@dhhs.tas.gov.au writes: Agree with el - it is unnecessary to "open" the cervix - even in the non-pregnant it is open, and after a Caesar it will certainly open itself further with all those prostaglandins about. Getting clots out of the vagina has the advantage that you know whatever comes out in the recovery room is new bleeding, but it only requires some suprapubic pressure to empty the vagina on the operating table. Pushing things into the vagina from below is a good way to get infection into the upper genital tract. Don't do it! Steve All Cesarean sections are "contaminated procedures". The vagina and uterus is a continuous space. Suprapubic pressure on the operating table with patient's legs closed likely would result in fluid from the vagina being pushed up into the uterus as well as out of the vagina. I don't think you can say that your way is better than my way. I have enjoyed my good results and would like to continue to do so. Neverthelss, it is interesting to know what other people are doing out there. Respectly, Allan
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