Re: Trauma with fetal demise
From: art fougner, md (evsono@pipeline.com)
Thu Jun 18 12:01:28 1998
in absence of vaginal bleeding or other signs of abruption, i would
observe and not actively intervene at present.
good luck with this sad case.
Art
At Thu, 18 Jun 1998, Gail Waldby MD wrote:
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>>From another list and I will forward your replies to Ian Thirsk, the
>original poster.
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>Date: Thu, 18 Jun 1998 17:09:49 +0200
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>From: Iain Thirsk <it@PIXIE.CO.ZA>
>To: Multiple recipients of list SURGINET <SURGINET@listserv.utoronto.ca>
>
>Dear all,
>advice appreciated on the following patient.
>25yr old female sustained a GSW abdomen, stomach spleen colon injured.
>Repaired primarily, but now on ICU ventilated. She is ventilated, somewhat
>oedematous, not inotrope dependant, and stable. No indication to do relap.
>She is however 26weeks pregnant, and the baby is now dead. What to do?
>1)relap and hysterotomy
>2)prostin pessary and await abortion
>3)Nothing and see if she aborts spontaneously
>4)any other
>
>Regards,
>
>--
>Iain Thirsk
>Surgeon
>Ngwelezana Hospital
>KwaZulu Natal
>South Africa
>it@pixie.co.za
>
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--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com
