Re: Spontaneous rupture of symphysis pubis
From: R. Daniel Braun (rd.braun@gmail.com)
Thu Apr 24 20:27:23 2008
You don't have to do what your consultant recommends.
Dan
On Thu, Apr 24, 2008 at 9:09 AM, Andrew Folley <agfolley@hotmail.com> wrote:
> Agree. MFM doc asked the same question. MFM said literature suggests
> simply binding the pelvis with abd binder and bedrest for several days in
> hospital. Alas the problems of getting consults with ORTHO
>
> > Date: Wed, 23 Apr 2008 15:05:04 -0500
> > From: forcep@intercom.net
> > To: ob-gyn-l@mail.obgyn.net
> > Subject: Re: Spontaneous rupture of symphysis pubis
> >
> > Andrew: What was reasoning used to justify putting a plate in for the
> > separation? In the past in some areas of world cutting the symphysis was
> > practiced to allow obstructed birth to proceed. Joe C
> >
> > Andrew Folley wrote:
> > >
> > > G1P0 spontanesous labor at term Pushes 1 hour with spontaneous
> > > vaginal birth and right 6 cm vaginal/ periurethral laceration up
> > > into space of retzius. I probe my finger into the laceration
> > > and am able to feel "serated" bone. Then realize that we are
> > > dealing with complete or partial separation of symphysis. Anyone
> > > experienced this before???
> > > My first in 25 years. Still baffled as to why it happened?
> > > Thankfully I did not use forceps or this would have been blamed
> > > for the outcome. Ortho put a plate in the next day through
> > > phannemstiel incision.
> > >
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--
R. Daniel Braun, MD FACOG(L) ABMP CMTh
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
--
R. Daniel Braun
"Science without Religion is LAME; Religion without Science is BLIND"
Einstein 1941
