Re: 2am roundtable discussions

From: FRANCES WREN (fwren@shaw.ca)
Mon Nov 19 16:05:31 2007


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i don't do a vag exam after C/S...and I too do not think it is necessary...also although I used to express the uterus after C/S I rarely do that now either... frances wren

>----- Original Message -----
From: eramirezt@coqui.net (Efrain Ramirez) Date: Monday, November 19, 2007 8:03 am Subject: Re: 2am roundtable discussions To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>

> I havent' found an article regarding vaginal exam after C/S -
> but I
> think it's unnecessary --
>
> Ef
>
> At Mon, 19 Nov 2007, Dr Eberhard Lisse wrote:
> >
> >Exactly.
> >
> >And, "good inspection", hmmm...
> >
> >Though I do like to express the uterus, this is probably only
> because of
> >the way I was trained, I'd love to see some evidence about it :-
> )-O
> >
> >el
> >
> >on 11/19/07 2:30 PM Ina May Gaskin said the following:
> >> 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
>
> --
> "I can accept failure, but I can't accept not trying." - Michael
> Jordan

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<DIV>i don't do a vag exam after C/S...and I too do not think it is necessary...also although I used to express the uterus after C/S I rarely do that now either...</DIV>

><DIV>frances wren<BR><BR>----- Original Message -----<BR>From: eramirezt@coqui.net (Efrain Ramirez)<BR>Date: Monday, November 19, 2007 8:03 am<BR>Subject: Re: 2am roundtable discussions<BR>To: Multiple recipients of list OB-GYN-L &lt;ob-gyn-l@dns.obgyn.net&gt;<BR><BR>&gt; I havent' found an article regarding vaginal exam after C/S - <BR>&gt; but I<BR>&gt; think it's unnecessary --<BR>&gt; <BR>&gt; Ef<BR>&gt; <BR>&gt; At Mon, 19 Nov 2007, Dr Eberhard Lisse wrote:<BR>&gt; &gt;<BR>&gt; &gt;Exactly.<BR>&gt; &gt;<BR>&gt; &gt;And, "good inspection", hmmm...<BR>&gt; &gt;<BR>&gt; &gt;Though I do like to express the uterus, this is probably only <BR>&gt; because of<BR>&gt; &gt;the way I was trained, I'd love to see some evidence about it :-<BR>&gt; )-O<BR>&gt; &gt;<BR>&gt; &gt;el<BR>&gt; &gt;<BR>&gt; &gt;on 11/19/07 2:30 PM Ina May Gaskin said the following:<BR>&gt; &gt;&gt; Wouldn't it be simpler just to give the placenta and <BR>&gt; membranes a good<BR>&gt; &gt;&gt; inspection?<BR>&gt; &gt;&gt;<BR>&gt; &gt;&gt; Ina May<BR&#
062;&gt; &gt;&gt;<BR>&gt; &gt;&gt; On 19 Nov 2007, at 02:03, Dr Eberhard Lisse wrote:<BR>&gt; &gt;&gt;<BR>&gt; &gt;&gt;&gt; Allan,<BR>&gt; &gt;&gt;&gt;<BR>&gt; &gt;&gt;&gt; With all due respect, before Semmelweis all our colleagues were<BR>&gt; &gt;&gt;&gt; enjoying their good results too...<BR>&gt; &gt;&gt;&gt;<BR>&gt; &gt;&gt;&gt; Is there some evidence that a vaginal digital manipulation <BR>&gt; post C/S<BR>&gt; &gt;&gt;&gt; is safe?<BR>&gt; &gt;&gt;&gt;<BR>&gt; &gt;&gt;&gt; And, while we are at it, is there evidence that we should express<BR>&gt; &gt;&gt;&gt; clots from the uterus at all?<BR>&gt; &gt;&gt;&gt;<BR>&gt; &gt;&gt;&gt; el<BR>&gt; <BR>&gt; --<BR>&gt; "I can accept failure, but I can't accept not trying." - Michael <BR>&gt; Jordan</DIV>

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