Re: ruptured membranes and Shirodkar

From: Bernard Cristalli (bcrist@club-internet.fr)
Sun Nov 30 06:27:46 1997


shiraz suleman wrote: >
> A second patient at 18 weeks who had been spotting from early on in
> pregnancy.She presents with bulging membranes.The cervix is 3 cm dilated
> and almost fully effaced.Who does emergancy cerclages and how good are
> your results?Busy night!
>
--
A cerclage seems to be vain. Results: success not far from 0% for a late
cerclage in these conditions. A miscarriage is highly probable even
after the cerclage. The patient may think it's your procedure that did
it. Obtain an informed consent whatever you do.

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




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