Re: new case

From: Bernard Cristalli (bcrist@club-internet.fr)
Thu Aug 28 14:49:24 1997


SRLVMB@aol.com wrote: >
> I recently had a G6p3023 patient come in at 23 weeks with a fetal demise.
> Her cervix was long and closed and her past Ob History was significant for 3
> previous C-sections [low transverse]. The demise was unexplained and she is
> healthy. Ant thoughts for management? Thanks.
>
--

Cervix preparation with laminaria or RU 486 and then... a Duhrsen procedure (vaginal cesarean section). It's one of its last indications.

Induction with oxytocin or Prostaglandins would be contra indicated after 3 CS.

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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