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Ynt: Correct Placement of IUD's From: Bulent Potur (bpotur@superonline.com) Tue Dec 30 09:12:55 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Cathy Harsha MD: "Re: fourth-degree tear" Previous message: DoctorJoe: "Re: Prematurity vs Chemotherapy" Next in thread: Malcolm Griffiths: "Re: Ynt: Correct Placement of IUD's" Reply: Malcolm Griffiths: "Re: Ynt: Correct Placement of IUD's" Maybe reply: John G. M. Robertson: "Re: Ynt: Correct Placement of IUD's" -----Özgün İleti----- Kimden: Malcolm Griffiths <Malcolm@mgriff22.demon.co.uk> Kime: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Tarih: 29 Aralık 1997 Pazartesi 16:11 Konu: Re: Correct Placement of IUD's >As far as listening to the fetal heart at antenatals - haven't done that >in years! If the woman tells me it has been moving well upto seeing me I >accept her assessment. If she says otherwise I insist on a computerised >CTG analysis. The only reason to listen to the FH is to allow the woman >to hear it - if she needs that reassurance - in which case you need a >Doppler/Sonicaid so she can hear it to! >Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt >Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Dear Malcolm, I suppose you are just kidding. There are many reports of normal appearing FHR tracings of macerated fetuses. (Apparently due to a tachicardiac maternal heart rate tracing). If you do not see the beating heart of a fetus on a US screen with your own eyes you can never be certain that the fetus is alive. I have seen many patients saying the baby was moving while it was actually dead in utero for days. Personally I have a US in my office and I routinely perform a US exam for every obstetric or gyneacologic patient. I do not charge for it. I do not present a written report of it either. I consider it as a part of my exam. Such as an ECG or even a stethescope for a cardiologist. After IUD insertions I see the patients in one month after the menses. I routinely check with US if the IUD is placed in uterine fundus. Because I also perform US exams before MR or other abortions I have seen cases with IUD and pregnancy. In most of those cases the gestational sac is in the uterine fundus while the IUD is in the lower part of the uterine cavity(mostly T or variant types)(Speculum examination shows no problems ) . So I think it is important to check with US that the IUD is in the right place in the cavity. I wish a happy new year for the list. and I congratulate the holy month ramadan of muslim listmates. Bulent Potur MD Obgyn bpotur@superonline.com Next message: Cathy Harsha MD: "Re: fourth-degree tear" Previous message: DoctorJoe: "Re: Prematurity vs Chemotherapy" Next in thread: Malcolm Griffiths: "Re: Ynt: Correct Placement of IUD's" Reply: Malcolm Griffiths: "Re: Ynt: Correct Placement of IUD's" Maybe reply: John G. M. Robertson: "Re: Ynt: Correct Placement of IUD's"

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