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Re: Advanced dilitation and previable triplets From: DoctorJoe@aol.com Tue Apr 30 08:19:49 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jason Gardosi: "Re: There but for the grace of God go I . . ." Previous message: DoctorJoe@aol.com: "Re: There but for the grace of God go I . . ." Maybe in reply to: fuf@gulf.net: "Advanced dilitation and previable triplets" Next in thread: OBDocRick@aol.com: "Re: Advanced dilitation and previable triplets" <<Questions: 1. Has anyone had success with heroic cerclages and triplets? 2. Any suggestions for management to improve odds of success in this patient? 3. Are there any published articles adressing this?>> Try Weinstein L, Okin CR, Fellens TE. The CLIPED procedure: an attempt to improve perinatal outcome in hpeless situations. J Perinatol 16(1):27, 1996. They have positive things to say about cerclage for this reason at 21 weeks or above. Personally, the difficulty you had with the Macdonald is one reason I use a modified Shirodkar in these situation... no through and through stitching, so less chance of ROM and less cervical trauma. Joe P. P.S. Obviously, Dr. Weinstein (of HELLP fame) is big into new abbreviations. I think it's cool. We have to stay one step ahead of our students and residents... Next message: Jason Gardosi: "Re: There but for the grace of God go I . . ." Previous message: DoctorJoe@aol.com: "Re: There but for the grace of God go I . . ." Maybe in reply to: fuf@gulf.net: "Advanced dilitation and previable triplets" Next in thread: OBDocRick@aol.com: "Re: Advanced dilitation and previable triplets"

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