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Re: 38 weeks, 2 previous myomectomies From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk) Tue Dec 23 15:31:13 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "Re: GEN Latin" Previous message: Malcolm Griffiths: "Re: how to suspend your subscription during holidays" In reply to: Marco A. Pelosi, III, MD: "Re: 38 weeks, 2 previous myomectomies" Next in thread: Marco A. Pelosi, III, MD: "Re: 38 weeks, 2 previous myomectomies" Reply: Marco A. Pelosi, III, MD: "Re: 38 weeks, 2 previous myomectomies" In message <199712231456.IAA01889@talk.obgyn.net>, "Marco A. Pelosi, III, MD" <marcop@tao.agoron.com> writes >At Mon, 22 Dec 1997, Garry E. Siegel, M.D. wrote: >> >>When in doubt, cut it out. I would suggest that you have a conversation >>with this patient, and tell her that labor without her op note is >>unknown territory; you just don't know. >> >>Thus, the safest thing is a section, realizing that an "unnecessary >>section" is a morbid procedure when compared to a vaginal delivery. >> >I agree. There is absolutely no reason to play Russian Roulette with >this woman's uterus for the misperceived "magic" of vaginal delivery. >Excluding the local butcher, the morbidity of elective cesarean section >is practically nil and limited mostly to mild fevers. I guess you've never seen a massive bleed from a CS resulting in hysterectomy; a pulmonary emobolism, or necrotising fasciitis post-CS. Not to be melodramatic but CS is not immune to complications. > >Second point: >I would disagree that vaginal delivery is less morbid than cesarean >delivery for women who suffer significant pelvic floor damage and >dysfunction as a result of the former. Unfortunately, it's not possible >to reliably identify these women before the damage occurs. > Did I miss something? Did this woman have pelvic floor problems or is this a general comment about the merits of CS over vaginal delivery? Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997]) Next message: Malcolm Griffiths: "Re: GEN Latin" Previous message: Malcolm Griffiths: "Re: how to suspend your subscription during holidays" In reply to: Marco A. Pelosi, III, MD: "Re: 38 weeks, 2 previous myomectomies" Next in thread: Marco A. Pelosi, III, MD: "Re: 38 weeks, 2 previous myomectomies" Reply: Marco A. Pelosi, III, MD: "Re: 38 weeks, 2 previous myomectomies"

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