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Re: Ynt: Correct Placement of IUD's From: Jason Gardosi (jason.gardosi@nottingham.ac.uk) Tue Dec 30 20:17:48 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "GEN: laptop" Previous message: jay kulkin: "Re: Cesarean Rates in South Florida" At Tue, 30 Dec 1997, John G. M. Robertson wrote: > 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> >>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. Just checking in on the web archives. Interesting multifilament thread, chaps - If you had done the ultrasound in the first place to confirm correct IUD placement, you wouldn't now have to debate whether to listen to the fetal heart, no? ;-) I did actually suggest that a scan be an integral part of an IUD insertion procedure (Br J Obstet Gynaecol 1996;103:574-6). Its the equivalent of inspecting correct placement of the clips after application at lap. steri. I suspect that many IUD failures were incorrect insertions, as they tend to occur early. A typical scenario is that the uterus is acutely anteverted / anteflexed and the doc was afraid to go too high to avoid a perf. As for hearing the fetal heart, for most mothers it's the highlight of their antenatal visit. Cheers all - Jason -- ************************************************* Jason Gardosi, MD PRAM, Queen's Medical Centre, Nottingham, U.K. http://www.nottingham.ac.uk/obgyn/PRAM/ Next message: Garry E. Siegel, M.D.: "GEN: laptop" Previous message: jay kulkin: "Re: Cesarean Rates in South Florida"

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