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Re: New Series #1-Admission and NSVD of laboring patients From: Arthurfree@aol.com Mon Jan 6 23:15:39 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: mark decker: "Re: Evidence & Economics" Previous message: douglas krell: "Re: New Series #1-Admission and NSVD of laboring patients" In a message dated 97-01-06 21:40:16 EST, you write: > >Well, your point is well taken, however, it is difficult to examine the >cervix when a patient is delivering in bed without stirrups as we do almost >all of our deliveries. I now do the majority of deliveries left lateral, but it doesn't keep me from breaking the bed and moving to dorsal lithotomy to do a quick vaginal exam while awaiting the placenta. I hate surprises! >>>I was trained to evaluate the cervix at every delivery with ring forceps. (snip) >> However, playing the >>devil's advocate, this one examination adds no expense (if ring forceps are >>on your tray), takes 15 to 30 seconds, and doesn't have morbidity that I can >>figure. It may save a problem very infrequently, and prevent a return to >>the OR. I usually use the rings as a sponge forcep to sweep the vaginal tissues to the side and elevate the cervix as well as to keep me from "walking" the cervix. The only time I've seen a postpartum cervical exam add morbidity is from grasping the edematous cervix with rings and causing a bleeding laceration. Arthur Freeland Next message: mark decker: "Re: Evidence & Economics" Previous message: douglas krell: "Re: New Series #1-Admission and NSVD of laboring patients"

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