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Re: Postpartum spotting From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au) Wed May 28 21:25:49 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Uterus not tender/adnexia not tender" Previous message: Meenan, Anna: "Re: Sometimes breachs are just meant to be born vaginally." In reply to: Glen Elrod: "Postpartum spotting" Next in thread: Efrain Ramirez: "Re: Postpartum spotting" Reply: Efrain Ramirez: "Re: Postpartum spotting" No doubt in my mind that she has a retained fragment - I would hysteroscope and/or evacuate as soon as feasible. Steve ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen -- ________________________________ Elrod Sent: Thursday, 29 May 2008 10:41 AM To: Multiple recipients of list OB-GYN-L Subject: Postpartum spotting 26 yo G2P2 s/p section in December. postpartum course was complicated by endometritis that was managed as an outpatient. pt recovered and had no further pain or fever. She stopped breast feeding in February and since then has been spotting continuously. I saw her a month ago and thought she had irregular bleeding from anovulation and gave her Provera. It didn't stop the bleeding and since she has continued to bleed daily. Ultrasound was otherwise unremarkable. Other than an EMB to rule out something persistent from delivery, is there any other suggestions. thanks, Glen CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: DoctorJoe@aol.com: "Re: Uterus not tender/adnexia not tender" Previous message: Meenan, Anna: "Re: Sometimes breachs are just meant to be born vaginally." In reply to: Glen Elrod: "Postpartum spotting" Next in thread: Efrain Ramirez: "Re: Postpartum spotting" Reply: Efrain Ramirez: "Re: Postpartum spotting"

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