Re: 2am roundtable discussions
From: Ina May Gaskin (inamaygaskin@gmail.com)
Mon Nov 19 05:30:47 2007
Wouldn't it be simpler just to give the placenta and membranes a good
inspection?
Ina May
On 19 Nov 2007, at 02:03, Dr Eberhard Lisse wrote:
> Allan,
>
> With all due respect, before Semmelweis all our colleagues were
> enjoying
> their good results too...
>
> Is there some evidence that a vaginal digital manipulation post C/S
> is safe?
>
> And, while we are at it, is there evidence that we should express
> clots
> from the uterus at all?
>
> el
>
> on 11/19/07 6:49 AM AllanHo@aol.com said the following:
>> 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
>
> --
> Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
> el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
> PO Box 8421 \ / Please do NOT email to this address
> Bachbrecht, Namibia ;____/ if it is DNS related in ANY way
