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Re: Premature AmniorrexisFrom: Jason Gardosi (jason.gardosi@nottingham.ac.uk)Sat Mar 23 06:05:26 1996
> In general, I tend to perform an amniocentesis <snip> >I have struggled to teach ER >doctors and others that the latent phase from rupture until delivery is >shortened dramatically by performing a digital exam. Ashley: I absolutely agree that there should be no fingers. We do not do an amnio though - we do a speculum under aseptic conditions, which allows us to look at the pool, inspect the cervix (best in left lateral) and take swabs. Would a negative amnio not be false reassurance if there is vaginal infection while the membranes are ruptured. I wonder what others on either side of the pool <G> do in this regard? Jason jason.gardosi@nottingham.ac.uk OB/GYN, Queen's Medical Centre University of Nottingham, UK
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