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Re: Ynt: Correct Placement of IUD's From: John G. M. Robertson (jgmr@unixg.ubc.ca) Tue Dec 30 13:44:28 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Embryo: "Re: MFM/REI: So how was your day?" Previous message: John G. M. Robertson: "Re: Earlier menopause with Hyst" Maybe in reply to: Bulent Potur: "Ynt: Correct Placement of IUD's" Next in thread: Malcolm Griffiths: "Re: Ynt: Correct Placement of IUD's" Reply: Malcolm Griffiths: "Re: Ynt: Correct Placement of IUD's" I agree with Malcolm (see snipped portion below). Unless you are committed to a BPP (BioPhysical Prophile) at each visit, your ultrasound has no predictive value. Then I ask the question my preceptors always asked me - how will this test alter your management. A test with no predictive value will not help me avoid and IUFD (Intra uterine foetal death). All it will tell me is what is there at the moment. As for an US with insertion of an IUD what does that tell you about when she goes to her next step class or has a lousy period with lots of cramping? Is it going to stay exactly where you put it? -----Original Message----- From: Malcolm Griffiths <Malcolm@mgriff22.demon.co.uk> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Tuesday, December 30, 1997 10:39 AM Subject: Re: Ynt: Correct Placement of IUD's >* I remain highly unconvinced that there is any merit in either routine >US after IUCD insertion; or routine fetal heart auscultation. > >Whilst routine fetal heart ultrasound at every antenatal visit is an >unattainable gold standard for my practice, I don't doubt its ability to >reliably diagnose fetal demise. However once the fetus is dead, I have >no intervention to offer to alter the outcome. > >>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: Embryo: "Re: MFM/REI: So how was your day?" Previous message: John G. M. Robertson: "Re: Earlier menopause with Hyst" Maybe in reply to: Bulent Potur: "Ynt: Correct Placement of IUD's" Next in thread: Malcolm Griffiths: "Re: Ynt: Correct Placement of IUD's" Reply: Malcolm Griffiths: "Re: Ynt: Correct Placement of IUD's"

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