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Re: OB:Cervical Cerclage From: Carlos Alberto Porta (caporta@interactive.com.ar) Thu Feb 26 07:28:51 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Susan Mcniel: "Re: SOCIAL: Seattle B&B" Previous message: Tomihiro Shimamoto: "Re: OB:Cervical Cerclage" Maybe in reply to: dagriff@pacbell.net: "OB:Cervical Cerclage" Next in thread: Stephen A. Szabo: "Re: OB:Cervical Cerclage" At 02:20 26/02/98 -0600, you wrote: >Patient is now asking me, "Do I have to have a cerclage this pregnancy?" >What is your criteria for prophylactic cerclage after conization? There are to my knowledge no obligation at all for a new cerclage after conization unless the chanel could be drastically reduced in its lenght and with increased caliper. But to take this kind of decitions it is necesary to... >Do you measure the cervix transvaginally? meassure the caliper and lenght with Hegar instr. BEFORE getting pregnant. During the actual pregnancy only could make an acceptable meassure by sonography, and... >What do you advise patients as the risk of incompetent cervix after cold >knife conization? it is imperative to know that several patients carryied a cerclage in the first pregnancy and it was not necesary in other ones afterwords. Finally, the avise depends of the meassure results, but it could be prudently a nice way to explain the cervical incompetence could be developed during the pregnancy even though the original meassure be good. It could be a nice opportunity to talk about ""which kind of cerclage the list would chose in this case???" Please take this as a new topic. Carlos Porta > -- Carlos Alberto Porta Doctor en Medicina caporta@interactive.com.ar http://members.tripod.com/~gineco/index.html http://members.tripod.com/~medmoron/index.html ************************************************** "El amor desinteresado es el mejor motor para una "buena comunicacion!! ************************************************** Next message: Susan Mcniel: "Re: SOCIAL: Seattle B&B" Previous message: Tomihiro Shimamoto: "Re: OB:Cervical Cerclage" Maybe in reply to: dagriff@pacbell.net: "OB:Cervical Cerclage" Next in thread: Stephen A. Szabo: "Re: OB:Cervical Cerclage"

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