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Re: eye hemorragy was to push or not to push. That is the question.From: rmodugno@aol.comTue Jun 30 17:28:19 2009
The one patient that I have seen with detached retina was one who had second stage delay with pre-eclampsia - she was a tremendous pusher and let's say she had a vacuum extraction which was not exactly a lift-out. Needless to say, she was blind in one eye the next day. I nearly had a heart attack, but I wasn't as nervous as the ophthalomologist who had to come to the postpartum unit. ;+) Mother and child did well! Robert Modugno MD MBA FACOG Sylva, NC -----Original Message----- From: emilio porro <sanbonav@hotmail.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Tue, Jun 30, 2009 8:17 am Subject: eye hemorragy was to push or not to push. That is the question. I agree.I think is common clinical experience to see some women after pushing for birth with eye anterior hemorragy or hemorragic eye's petecchias.
-- Emilio Porro M.D > Date: Mon, 29 Jun 2009 19:21:17 -0500 > From: eramirezt@coqui.net > To: ob-gyn-l@mail.obgyn.net > Subject: Re: To push or not to push. That is the question. > > Elective C/S > > Ef > > At Mon, 29 Jun 2009, rmodugno@aol.com wrote: > > > >-----Original Message----- > >From: rmodugno@aol.com > >To: ob-gyn-l@ob-gyn.net > >Sent: Mon, Jun 29, 2009 3:44 pm > >Subject: To push or not to push. That is the question. > > > >24 year old P0G1 - 21 weeks.Gives history of eye su rgery in Ukaraine at > >age 14 Details are not available.Was told at the time not to be > >involved in anything that might involve jumping, horse back riding or > >"giving birth naturally", presumably due to stresses/strain within the > >eye due to her high myopia- this info from her local opthalmologist. At > >present retinal exam is normal.He advised: that "normal' physical > >activity should not cause any particular risk other than the fact of > >her high myopia and increased risk of retinal detachment. Ofcourse he > >does not give any recommendations regarding delivery. > > > > > > > >She wants to know whether she should have an elective cesarean section. > >What would YOU cyberobs do? > > > > > > > >Robert Modugno MD MBA FACOG > > > >Sylva, NC > > > > Save energy, paper and money -- get the Green Toolbar. > > -- > "Life is what happens to you while you're busy making other plans."- John Lennon
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