Re: 2am roundtable discussions

From: ainsron (ainsron@sbcglobal.net)
Tue Nov 20 10:11:35 2007


To me, expressing the uterus at the time of a C/S is no different than massaging the uterus at the time of a vaginal birth. I always do it to establish hemostasis. Sometimes I do it more vigorously than at other times, depending on how boggy it feels, but I always do it. Once the incision is closed, I will massage the uterus before I leave the side of the patient.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of AllanHo@aol.com Sent: Monday, November 19, 2007 10:16 PM To: Multiple recipients of list OB-GYN-L Subject: Re: 2am roundtable discussions

In a message dated 11/19/2007 6:07:31 PM Eastern Standard Time, fwren@shaw.ca writes:

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

For curiousity, under what circumstances would you "rarely" express the uterus? Why do it sometimes and not the other? Why not doing it prophylactically for everyone?

Just because you don't express the uterus, it does not always mean it not being done. Every so often when I work with a new nurse, she would thank me for doing "her job" when I expressed the uterus after a Cesarean section.

Allan

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