Re: ruptured membranes and Shirodkar

From: Bernard Cristalli (bcrist@club-internet.fr)
Sun Nov 30 15:24:16 1997


DoctorJoe@aol.com wrote: >
> In a message dated 11/30/97 6:43:51 AM, you wrote:
>
> <<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.>>
>
> Agree with informed consent. However, I am not so pessimistic about emergency
> cerclage. There are, as I said, a number of series in the literature with
> some positive results. Compare this to the 0% survival if this type of
> patient is "let go" and I think you have to really consider cerclage a viable
> option.
>
--

Agreed. Anyway what have you got to loose?

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




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