-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Delivery mode in a patient with a previous rectovaginal fist From: zygote@ICSI.Net Fri Aug 29 13:37:08 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: zygote@ICSI.Net: "Re: Post tubal ligation ectopic pregnancy" Previous message: Richard Chudacoff, MD: "Re: Wha' do I do now?" In reply to: Marco A. Pelosi, III, MD: "Re: Delivery mode in a patient with a previous rectovaginal fistula" Next in thread: Garry E. Siegel, M.D.: "Re: Delivery mode in a patient with a previous rectovaginal fist" Reply: Garry E. Siegel, M.D.: "Re: Delivery mode in a patient with a previous rectovaginal fist" Date: Fri, 29 Aug 1997 09:30:32 -0500 Reply-to: ob-gyn-l@obgyn.net From: marcop@tao.agoron.com (Marco A. Pelosi, III, MD) To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Subject: Re: Delivery mode in a patient with a previous rectovaginal fistula At Fri, 29 Aug 1997, Dr Ron Jewell wrote: > >This 27 year old G2P1 had her first delivery in a small rural hospital >and had an undiagnosed third degree(4th for our American colleagues) >tear. Her GP repaired the tear but 1 week later she started passing >faeces per vaginum. >Is this advice reasonable? Ron, Don't mess with a successful rectovaginal fistula repair. M.A. Pelosi, III, MD Dear Ron, I would disagree with Dr. pelosi. Since the adage of skinning cats is so familiar, so is the routine statement about doing c/s. If your assessment is that vaginal delivery is reasonable, then it is acceptable. I have done vaginal deliveries multiple times in this same situation. The patients with whom the issue can not be discussed is the patient who has been told by a previous MD that under no circumstance is she to deliver vaginally. Let us know your outcome. Bob Robert J. Carpenter, Jr. MD St. Luke's Medical Tower,#2720 6624 Fannin,Houston,Tx 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422 Next message: zygote@ICSI.Net: "Re: Post tubal ligation ectopic pregnancy" Previous message: Richard Chudacoff, MD: "Re: Wha' do I do now?" In reply to: Marco A. Pelosi, III, MD: "Re: Delivery mode in a patient with a previous rectovaginal fistula" Next in thread: Garry E. Siegel, M.D.: "Re: Delivery mode in a patient with a previous rectovaginal fist" Reply: Garry E. Siegel, M.D.: "Re: Delivery mode in a patient with a previous rectovaginal fist"

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.