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Re: Delivery mode in a patient with a previous rectovaginal fistula From: Bernard Cristalli (bcrist@club-internet.fr) Fri Aug 29 15:15:13 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: The Missing IUCD" Previous message: Susan Mcniel: "Friday joke" Maybe in reply to: Dr Ron Jewell: "Delivery mode in a patient with a previous rectovaginal fistula" Next in thread: Dr. A. Hensenne: "Re: Delivery mode in a patient with a previous rectovaginal fistula" 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. > > The fistula was repaired at 4 weeks post partum by a general surgeon. > > She is now 30 weeks gestation in the second pregnancy and has been > referred to me for delivery. > > I have advised LUSCS if she appears to have a larger baby - the first > was about 3.5kgs. Otherwise I would have thought vaginal delivery with > close supervision and an early large mediolateral episiotomy reasonable. > -- CESAREAN. If the repair is effective don't run the risk. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "Re: The Missing IUCD" Previous message: Susan Mcniel: "Friday joke" Maybe in reply to: Dr Ron Jewell: "Delivery mode in a patient with a previous rectovaginal fistula" Next in thread: Dr. A. Hensenne: "Re: Delivery mode in a patient with a previous rectovaginal fistula"

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