Re: 20 weeks with PPROM + previa

From: Mats Bergstrom (matsb@sos.sll.se)
Mon Jul 1 15:44:27 1996


Ashley Hill wrote:

> If she wanted termination for PPROM at 20 weeks, would anybody do a
> c/s (essentially a hysterotomy) to deliver the baby? Thanks in advance.

No. Vaginal prostaglandin would be my choice. This might diminish the amount of bleeding compared to a spontaneous second trimester abortion in the same situation (with a previa), and even the latter would be managable (but perhaps with a higher risk of needing blood transfusion).

--
Mats Bergstrom, MD
Ob Gyn
South Hospital
Stockholm




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