Re: Postpartum spotting
From: Efrain Ramirez (eramirezt@coqui.net)
Thu May 29 06:43:09 2008
Suction curettage, quantitative hCG..
Ef
At Thu, 29 May 2008, Raymond Stephen wrote:
>
>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
>
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