Re: Cervical length question

From: Braun, R. Daniel (rbraun@iupui.edu)
Fri May 21 06:27:58 1999


Cerclage. Dan

> -----Original Message-----
> From: elishyde@connix.com [SMTP:elishyde@connix.com]
> Sent: Wednesday, May 19, 1999 9:54 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Cervical length question
>
> G5P0 tab 3, sab 1 (no D&C) calls c/o bloody, mucus discharge x 2 days @ 17
> weeks gestation. Pt is late registrant who has iffy LMP, scheduled for US
> for dates in 2 days. Discharge first appeared following intercourse. No
> pain. Was advised to be seen.
>
> Presents to office w/ normal appearing d/c in vagina, cervix w/ extensive
> erosion and mucoid d/c. Digital exam cervix long, ext os sl patulous, no
> extensive exam to feel internal os, but probably closed. Fundal height 1
> FB below umbilicus, + FHTs. DNA probe for GC/chlamydia obtained because of
> cervicitis, mucoid d/c at os.
>
> Got cervical length us.....1.5-2.0 cm w/ funnelling/beaking. Placenta not
> lowlying. S>D by 10-14 days.
>
> What would you do? (and, yes, I consulted, and yes, there is a plan in
> place...I'm just curious how other folks would handle this.)
>
> Betsy Hyde CNM
> Branford, CT
>





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