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Re: Any thoughts? From: Bernard Cristalli (bcrist@club-internet.fr) Thu Dec 3 00:09:25 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Retained condom" Previous message: Rafael Haciski, MD: "Re: FERT:residual cysts" Maybe in reply to: Terrence.Jones@ncal.kaiperm.org: "Any thoughts?" Next in thread: Braun, R. Daniel: "Re: Any thoughts?" You didn't operate her till now, so wait some more weeks and have another US done. The most important concern is for a next pregnancy. -- Malcolm Griffiths a écrit: > Saw a pateint a few weks ago for possible termination of pregnancy. She > and her husband obviously had some doubts about the idea and had > actually been considering sterilisation. She had some symptoms which > suggested non-viable pregnancy, so I sent her for US. > > US showed non-viable cornual pregnancy with biometry (just) <than dates. > > I discussed surgical treatment with her but effectively suggested that > we should follow conservative management with serial beta hCG. Levels > slowly fell from 42,000 (!) to non-pregnat values, but US showed no > shrinkage in ectopic. > > I am due to review her in a few weeks. > > She has two children and probably doesn't want any more. > > She is perfectly well and assymptomatic now. > --- > Would anyone disagree with conservative management? If so why? What > would you do? > --- > Suppose she changes her mind and wants to try for a baby - any change in > management? (I have heard suggestion of such cases spont rupturing early > in next preg). > --- > How would you manage the next pregnanacy (assuming it's IU)? > 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]) -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm http://www.cliniquedelessonne.fr/ Next message: Bernard Cristalli: "Re: Retained condom" Previous message: Rafael Haciski, MD: "Re: FERT:residual cysts" Maybe in reply to: Terrence.Jones@ncal.kaiperm.org: "Any thoughts?" Next in thread: Braun, R. Daniel: "Re: Any thoughts?"

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