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Re: OB: Primipara with DidelphysFrom: Betsy Hyde (elishyde@connix.com)Sat Aug 8 21:55:14 1998
At 8:31 PM 8/8/98, Geffrey H. Klein, MD wrote: >New case: > >Newly pregnant primigravida with didelphys. She is 11 weeks by dates >confirmed by transvaginal sonogram. She is pregnant on the left side. > >We discussed possible growth restriction and I plan serial growth scans. >What are the feelings for cervical length measurement and fetal fibronectin? >Any other interventions or suggestions for this very interesting pregnancy? >Should she go to medical school after having the baby? no she should not go to medical school unless she has a stay at home husband. however, back to the medical part of your question....(gee, do we have medical questions on this list?).... my only experience with a uterine didelphys was as a labor nurse (I've only been a midwife 14 years...6 more years to go before I qualify as a good midwife, so can't address my midwifery experience w/ didelphys or bicornuate uteri). Primip comes in in labor at the University of Oklahoma Health Sciences Center (Memorial Hospital). At that time, it was a residency run service. First cervical exam is 1 cm, next exam is 6 cm, next exam is 2 cm, next exam is 8 cm, next exam is 2+ cm. Turns out she had a didelphys uterus. Depending which cervix was examined, the dilatation varied greatly. The side of the uterus w/ the pregnancy dilated normally. The empty horn had slight, passive dilatation. It sure had the residents puzzled, though.
-- Betsy Hyde CNM Branford, CT
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