FW: Information about postL.S.C.S uterine inertia

From: Barbara Nesbitt (barbara.nesbitt@obgyn.net)
Wed Dec 30 22:48:25 1998


-----Original Message----- From: Dr. Soman [mailto:manda@pn2.vsnl.net.in] Sent: Wednesday, December 31, 1997 2:56 PM To: info@obgyn.net Subject: Information about postL.S.C.S uterine inertia

Dear doctors, I am an obstetrician Dr. Manda&nbsp; soman from lonavla ,state Maharashtra , INDIA.Recently I had&nbsp; to undertake emergency hysterectomy during L.S.C.S. operation.&nbsp;The pt. was 18 yr old & primi gravida. Indication for L.S.C.S was POP . After delivering the baby by L.S.C.S the uterus refused to contract even after Inj . Methergin , i.m ,i.v & local, Inj. pitocin&nbsp; , i.m , i. .v( 4 ampoules in drip), Inj . prostodin. Hot water sponging. We waited for about an hour or so. Pt. continued to bleed . Fearing D.I.C.&nbsp; we performed&nbsp; subtotal&nbsp; hysterectomy. &nbsp; Is there any other line of treatment by which we could have controlled the bleeding & obviously avoided hysterectomy in such a young Pt? &nbsp;Expecting an early reply, Yours DR.Mrs .Manda Soman. <ADDRESS> manda@pn2.vsnl.net.in</FONT></ADDRESS>

Dear doctor,
I am an obstetrician Dr. Manda  soman from lonavla ,state Maharashtra , INDIA.
Recently I had  to undertake emergency hysterectomy during L.S.C.S. operation.
 The pt. was 18 yr old & primi gravida.
Indication for L.S.C.S was POP .
After delivering the baby by L.S.C.S the uterus refused to contract even after
Inj . Methergin , i.m ,i.v & local,
Inj. pitocin  , i.m , i. .v( 4 ampoules in drip),
Inj . prostodin.
Hot water sponging.
We waited for about an hour or so.
Pt. continued to bleed .
Fearing D.I.C.  we performed  subtotal  hysterectomy.

  Is there any other line of treatment by which we could have controlled the bleeding &
obviously avoided hysterectomy in such a young Pt?
 Expecting an early reply,
Yours
DR.Mrs .Manda Soman.

manda@pn2.vsnl.net.in

Dr. A. M. Soman e-192 Lonavla-410401 E-mail : manda@pn2.vsnl.net.in





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