|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re[2]: No SubjectFrom: Lynn Montgomery (Lynn.Montgomery@ccMail-Link.NMMC.Com)Fri Aug 29 09:18:57 1997
______________________________ Reply Separator _________________________________ Subject: Re: No Subject ______________________________ Reply Separator _________________________________ Author: ob-gyn-l@obgyn.net at The-World Date: 8/28/97 11:47 PM I think that a patient with a missed abortion be given the choice of "expectant management" vs D&C vs prostaglandin. While the D&C is seemingly invasive, a large percentage of the other non-managed or medically managed cases will require D&C, with greater risk for hemorrhage or infection. It is also psychologically painful for a woman to have to walk around with a dead embryo in her. Doing a D&C also provides the opportunity to get information about the abnormal pregnancy which may otherwise be lost. E. Marut MD Not to mention the risk of a "blind procedure" with the risk of perforation. The risk of Asherman's, the anesethetic risk and potential injury to the cervix with dilation. I also disagree with the fact that "a large percentage will require D & C". I have been practicing for ten years and have always managed these expectantly. I have had to do a D & C on less than five of these. What I am trying to avoid by using Cytotec is the wait between discovery and when the body begins to take care of things itself. Lynn
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:20:47 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.