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Re: AV Malformations in PregnancyFrom: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)Wed Mar 18 16:12:50 1998
In message <199803180324.VAA09833@talk.obgyn.net>, "Mary Shuman, MD" <Mary211@aol.com> writes >I have a 22 yr old G1 @ 11wks with a history of congenital AV >malformation with a h/o stroke at age 7, with minimal left side >weakness. Pt had 3 aneurysms repaired at age 17 with the AV >malformation "clipped". Pt had a repeat MRI two years ago with no >further problems. I am interested in any suggestions as far as >treatment and care during her prenatal care and labor and any article >references about AV malformations in pregnancy. Any input appreciated, >thanks. I have a similar woman under my care currently. She had her neurosurgery in Canada and is now in UK. I suggested to her that previously treated aneurysms carry no real risk in labour and neither elective CS elective forceps were mandated - she looked at me in horror as if I was mad! There are various neuro and opthalmic conditiosn which traditionally have meant elective CS, withg little or no basis. Couple of years ago I had a successful VBAC in a woman whose prior CS was for PH of retinal detachment. 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])
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