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Re: A Poll,From: Philip Suarez (philip@icsi.net)Sun Apr 19 16:53:39 1998
-----Original Message----- From: Behalf Of Bernard Cristalli Sent: Sunday, April 19, 1998 2:54 PM To: Multiple recipients of list Subject: OB: A Poll, In France vaginal exams are an institution. It would be considered unethical to design a study to compare vaginal exam Vs no vaginal exam during pregnancy or delivery. These are my questions. 1. How many visits do you practice during a normal pregnancy? A routine, uncomplicated patient usually has ~ 10 - 14 visits, depending upon how early her prenatal care started 2. Do you perform a vaginal exam at each OB visit? NO NO NO!!! Early to get a good idea of dating, then ONLY if she has complaints of preterm or term labor or when she's at her EDC. I am concerned about preterm rupture of membranes with repeated exams. I get NOTHING from that exam so, like any medical procedure or lab study, if I am not going to change how I manage the patient, why do the "test?" 3. How do you control the evolution of a delivery? Vaginal exam or not? At which rythm? 41 weeks NST, late 41 weeks, nearly 42 weeks, induction of labor. Is that what you meant? Philip
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