Re: IUD/Abruption

From: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU)
Wed Jun 5 06:42:07 1996


If it were closer to 20 weeks, I doubt that it would be an abruption. In spite of what our radiologist friends tell us, abruption is still "3rd Trimester" bleeding. If she isn't in labor, I seriously doubt that she had an abruption serious enough to cause fetal demise. I would treat her the same as any other fetal demise i.e. induce with Prostaglandins.

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R.Daniel Braun, MD FACOG                "Money will buy you a fine dog
Clinical Professor                                 but only love will make it wag
Dept. OB/GYN                                      it's tail.",
Indiana U. School of Medicine                     Richard "Kinky"Friedman
Racetown
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<PETEHARRIS@delphi.com> 06/04/96 05:32pm >>>
I would be grateful for advice on what to do with an intra uterine death
between 20 and 30 weeks after a probable abruption.

Do tetanic or Couvelaire uteri contract easily? For induction what would the list recommend? Here some use Cervagem/Gemeprost 1 mg 3hrly upto X5, some recomend ARM and syntocinon as early as possible. Is there any time limit or recommendation of when one should to have delivered by? Some books recommend 6 hrs. Anybody got useful advice on using Willett forceps?

Pete Harris (PeteHarris@delphi.com) Box 224 Rosie Maternity Hospital Addenbrooke's NHS Trust Cambridge CB2 2QQ





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