Re: OB: A Poll

From: Ealgail (Ealgail@aol.com)
Mon Apr 27 17:26:41 1998


In a message dated 98-04-24 10:30:03 EDT, you write:

<< The thing that really made me stop >though was when I checked a lady at 36 weeks who had had NO bleeding and
>discovered her placenta previa. >>

With sonograms today, this is less likely to happen, because we know where the placenta is prior to 36 weeks. I was taught that an exam 36 weeks on does several things. Since, we treat SROM conservatively with no exams until active labor, it helps to know at what dilitation a patient was prior to rupture in planning an induction. It confirms the lie. Abdominal exam is not as accurate as palpating sutures or feet. If it is breech, it allows a version to be scheduled at 36 weeks when there is more fluid to increase the success rate. It allows you to prepare a patient for the inevitable frustration that comes with being overdue. In my experience, if a patient is long and closed at 36 weeks, she is more likely to go beyond 40 weeks. Patients like to know if they are dilating and getting closer to delivery.

Linda Linda Morrison-Boczar, MD MBA FACOG Sarasota, FL





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