Re: ultrasound of old c/s scar
From: art fougner, md (evsono@pipeline.com)
Tue Dec 8 13:51:30 1998
just uploaded two images to the ultrasound list apropos this discussion
of an apparent uterine scar defect after a C-section. so now - what
would you do next pregnancy?
art
At Tue, 8 Dec 1998, Braun, R. Daniel wrote:
>
>PERSONAL OPINION No data.
>I will bet that when you do your section, you will not find a window. Let us
>know when you do it.
>Dan
>
> -----Original Message-----
> From: annette lee [SMTP:aleeoc@rocketmail.com]
> Sent: Tuesday, December 08, 1998 9:32 AM
> To: Multiple recipients of list
> Subject: Re: ultrasound of old c/s scar
>
> I have a patient who had a sonohysterogram as part of
> an infertility w/u. It revealed an asymptomatic
> defect about 1 cm wide on the endometrial side. At
> the apex of the defect, the myometrium was 2 mm thick.
> She got pregnant. I consulted multiple
> perinatologists and the consensus opinion was to do
> serial ultrasounds and intervene only if the
> pregnancy herniated into the bladder. She will have
> elective c/s before labor. Hopefully everything will
> go ok. A literature search revealed on case of a
> goretex graft placed over such a defect at 17 wks
> (successful)
> Annette Lee MD FACOG
> IVF New Jersey
>
> ---ob-gyn-l@obgyn.net wrote:
> >
> > OB-GYN-L Digest 146
> >
> > Topics covered in this issue include:
> >
> > 1) Interest
> > by premier@engacad.samara.su (Popova Elena)
> > 2) Re: [RE: [Manners]]
> > by Philip Rosenow <philip@netpath.net>
> > 3) RE: VBAC's by nurse-midwives
> > by elishyde@connix.com (Betsy Hyde)
> > 4) Re: MgSO4
> > by sanchez@umc8.umc.ufl.edu (Luis Sanchez-Ramos,
> M.D.)
> > 5) Re: MgSO4
> > by eramirez@icepr.com (Efrain Ramirez MD)
> > 6) Re: NEW VBAC question
> > by eramirez@icepr.com (Efrain Ramirez MD)
> > 7) Re: NEW VBAC question
> > by john.robertson@obgyn.net (John Robertson M.D.)
> > 8) Re: NEW VBAC question
> > by DoctorJoe@aol.com
> > 9) Re: VBAC's by nurse-midwives
> > by Ealgail@aol.com
> > 10) Re: voice recognition
> > by Ealgail@aol.com
> > 11) Re: VBAC's by nurse-midwives
> > by Ealgail@aol.com
> > 12) Re: [RE: [Re: BREECH PRESENTATION FIRST
> RISK,VAGINAL BREECH DELIVERY S]
> > by "Roger Klam" <tstork2@intrnet.net>
> > 13) Re: VBAC's by nurse-midwives
> > by Ealgail@aol.com
> > 14) Re: voice recognition
> > by "Rafael Haciski, MD" <haciski@earthlink.net>
> > 15) Re: VBAC's by nurse-midwives
> > by ThomasInd@compuserve.com (Thomas Ind)
> > 16) Re: [Fwd: Fw: An Important Message] - CA-125
> > by ThomasInd@compuserve.com (Thomas Ind)
> > 17) Re: voice recognition
> > by ThomasInd@compuserve.com (Thomas Ind)
> > 18) Re: MgSO4
> > by Bernard Cristalli <bcrist@club-internet.fr>
> > 19) Hepatitis and amnio
> > by baranakis haris <baranak@danae.med.uoc.gr>
> > 20) 17 minute rule put into practice.
> > by ThomasInd@compuserve.com (Thomas Ind)
> > 21) Re: 17 minute rule put into practice.
> > by eramirez@icepr.com (Efrain Ramirez MD)
> > 22) Re: VBAC's by nurse-midwives
> > by Ken Turkowski <turk@apple.com>
> > 23) Re: Hepatitis and amnio
> > by eramirez@icepr.com (Efrain Ramirez MD)
> > 24) Re: NEW VBAC question
> > by scotia@bellsouth.net (Scotia Phillips, RT, RDMS)
> > 25) RE: MgSO4
> > by "Braun, R. Daniel" <rbraun@iupui.edu>
> >
>
>--
>----------------------------------------------------------------------
> >
>----------------------------------------------------------------------
> > Date: Mon, 7 Dec 1998 14:18:28 -0600 (CST)
>----------------------------------------------------------------------
> > From: premier@engacad.samara.su (Popova Elena)
> > To: OB-GYN-L@OBGYN.net
> > Subject: Interest
> > Message-ID: <199812072018.OAA03629@talk.obgyn.net>
> >
> > Dear Collegyes
> >
> > My name is Popova Elena. I'm a Pediatric
> Gynecologist from Russia from
> > Samara city. I have found your address in Internet,
> where was specified,
> > that you are the members of a NASPAG. I would like
> to enter to NASPAG
> > and
> > FIGIJ. I would be very grateful to you if you can
> send me the
> > address of NASPAG and FIGIJ and the rules of
> entering to this
> > Organizations.Iam also interested in your
> gynecology profile and
> > should be obliged if you would forward to me more
> informations in
> > brochure about your gynecology
> > department.Iam very sorry for my needy English.
> >
> > With best regards
> >
> > Dr. Popova Elena
> > Russia
> > Samara Regional Clinical Hospital
> > Department Childrens Gynecology
> > Zip code 443095 Samara
> > Str.Taschkentskay,159
> > Phone +7(846.2)582436
> >
> > Home adress
> > Dr.Popova Elena
> > Str.Promuschlennocty 201 - 1
> > Samara 443117
> > Russia
> >
> > ------------------------------
> >
> > ------------------------------
> > Date: Mon, 07 Dec 1998 16:01:20 -0500
> > ------------------------------
> > From: Philip Rosenow <philip@netpath.net>
> > To: ob-gyn-l@obgyn.net
> > Subject: Re: [RE: [Manners]]
> > Message-ID: <366C4220.F29B2FD4@netpath.net>
> >
> > How many times do we get to hear about the IQ of
> over 180. Hell, I am sure Mensa is not worried that
> I might try
> > to enter their hallowed halls but I still am able
> to take good care of a patient. The original post
> which started
> > this flame was silly anecdotal but I just deleted it.
> >
> > Phil Rosenow
> >
> > Jan Siebold wrote:
> >
> > > ob-gyn-l@talk.obgyn.net wrote:
> > > > And most professionals are Polite even to the
> point of identifying
> > >
> > > > themselves as more than "Jan1343". Are there
> 1342 more like you out there.
> > >
> > > Probably not 1342, but at least one other, my
> identical twin, TwinA, who was
> > > polite enough to go first and allow me to risk
> the "50%" chance of having CP,
> > > to be TwinB, vaginal breech 7#13oz. with an IQ of
> over 180, thank you.
> > >
> > > Jan
> > >
> > > Jan1343@netscape.net
> > >
> >
> > ------------------------------
> >
> > ------------------------------
> > Date: Mon, 7 Dec 1998 17:35:12 -0500
> > ------------------------------
> > From: elishyde@connix.com (Betsy Hyde)
> > To: ob-gyn-l@obgyn.net, Multiple recipients of list
> <ob-gyn-l@talk.obgyn.net>
> > Subject: RE: VBAC's by nurse-midwives
> > Message-ID: <v02140b01b292069d0a93@[209.66.144.2]>
> >
> > At 8:02 AM 12/7/98, Braun, R. Daniel wrote:
> > >Those sound like prior Classical C/S. i.e. rupture
> prior to labor and
> > >catastrophic in nature. And that is why we don't
> like to do classical's
> > >anymore.
> > >Dan
> >
> > the ruptures were from documented LTCS.
> >
> > Betsy Hyde CNM
> > Branford, CT
> >
> > ------------------------------
> >
> > ------------------------------
> > Date: Mon, 7 Dec 1998 16:38:57 -0600 (CST)
> > ------------------------------
> > From: sanchez@umc8.umc.ufl.edu (Luis Sanchez-Ramos,
> M.D.)
> > To: OB-GYN-L@OBGYN.net
> > Subject: Re: MgSO4
> > Message-ID: <199812072238.QAA07612@talk.obgyn.net>
> >
> > At Mon, 07 Dec 1998, Bernard Cristalli wrote:
> >
> > >>MgSO4 is not used at all here. [Perhaps one or
> two individuals do]. In premature labor it is as
> useful as the other drugs, meaning useless. It was
> used here in eclampsia a long time ago. We do use
> diazepam or equivalent. Differences in preventing
> eclampsia (or recurrences) are not easy to assess
> because eclampsia is not so frequent and its natural
> evolution is unpredictible.<<
> >
> > Dr. Cristalli;
> >
> > I agree with your statement on the use Of MgSO4 as
> a tocolytic, but
> > totally disagree on the issue of eclampsia.
> > Did any hospital in France take part in the
> Collaborative Magnesium
> > trial ? Diazepam is certainly the drug not to use.
> >
> > Luis Sanchez-ramos, MD
> >
> > ------------------------------
> >
> > ------------------------------
> > Date: Mon, 7 Dec 1998 18:10:42 -0600 (CST)
> > ------------------------------
> > From: eramirez@icepr.com (Efrain Ramirez MD)
> > To: OB-GYN-L@OBGYN.net
> > Subject: Re: MgSO4
> > Message-ID: <199812080010.SAA10649@talk.obgyn.net>
> >
> > Diazepam is certainly the drug not to use.
> >
> > Agree.
> >
> > >
> > >--
> > >Luis Sanchez-ramos, MD
> > >
> >
> > --
> > Efrain Ramirez MD FACOG
> >
> > ------------------------------
> >
> > ------------------------------
> > Date: Mon, 7 Dec 1998 18:14:47 -0600 (CST)
> > ------------------------------
> > From: eramirez@icepr.com (Efrain Ramirez MD)
> > To: OB-GYN-L@OBGYN.net
> > Subject: Re: NEW VBAC question
> > Message-ID: <199812080014.SAA10974@talk.obgyn.net>
> >
> > No..never..
> >
> === message truncated ===
>
--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com
