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Another case (for those of you not interested in highFrom: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU)Mon Jul 8 08:39:56 1996
affinity hemoglobins) - long -Reply The sono, shows a constriction of the cervix or lower segment at the neck, and may prevent vagina delivery. Would this not also prevent abdominal delivery without doing cervical incision ???? 1. Can the head of a 27 week fetus sit in the vagina for weeks without deformations or injury occuring? Is this any diferent than being in the uterus with no fluid for several weeks ?? 2. Is this patient who has SROM, oligohydramnios and completely dilated a candidate for continued tocolysis. If already doing it and no change has occurred except for knowing the head is in the vagina, I see no reason to stop now. 3. What is causing her multiple pregnancy problems? The patient and her family are convinced it was the Wilm's tumor or chemotherapy. I have no idea,but I doubt it was anything related to the Wilms tumor or its treatment. I would certainly inspect the uterus for evidence of duplication. I have personally made the initial diagnosis of uterine duplication at the time of repeat cesarean section on at least 20 separate occasions. (I lost count at 20) 4. Have you noticed her white count is above average? any explanation? NO 5. Recommendations for delivery & timing of delivery? when she labors enough to bring it on down.
-- @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ 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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