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Re: U/S and cervical incompetanceFrom: Rudolf Straka (straka@sco.medicalh.sk)Tue Dec 19 04:35:06 1995
What about to consider cerclage as the reasonable prophylaxy of prematurity? Sure, some circumstances has to be presented, so it's not such big problem to come to agreement when it's indicated. And even if it's useless in some cases, the term deliveries which would be otherwise premature are the best authorisation for such procedure. We have a policy not to risk any pregnancy. It's better to do some apparently unnecessary cerclages /and it's questionable if they are really unnecessary/, than to lose one baby. I agree, that any patient is individual, but not absolutely different. So it's obviously necessary to decide individualy, but some standardisation is not only "conditio sine qua non" but also possible. The protocol regarding cervical incompetency is possible to build-up either for hospitals where money have strong controlling power, or for hospitals, where some independancy in health care is stabled. Sincerely
-- ====================== Dr. Rudolf STRAKA straka@sco.medicalh.sk
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