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Re: IUD and PID From: Steven Crawford (scrawfmd@zoomnet.net) Sun May 30 14:37:08 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: mailist@isralink.co.il: "Obstetrics, Gynecology & Infertility Congress invitation" Previous message: Gerard Miranda: "Re: gowns" Maybe in reply to: Deborah J. Wage FNP, CNM: "IUD and PID" Next in thread: Braun, R. Daniel: "Re: IUD and PID" Another excellent example of how the breadth of a physician's training would have prohibited the insertion of the IUD in this case. A physician would have been more likely to NOT have placed the IUD in this particular patient (I would not have done so), based on her medical history, IMO.. -- Steven Crawford, MD RModugno@aol.com wrote: > In a message dated 5/29/99 5:51:17 PM Eastern Daylight Time, > garrys@mindspring.com writes: > > << > I sure as hell hope that the midwife employed by my practice would > discuss this case with a supervising MD *prior* to placement (and I > don't care who puts it in, but the MD needs to be involved in the > decision making). As it turns out, she recently put an IUD in a 48 YO > nullip who only had been seen once in our practice, and had a laundry > list of gyn complaints, including infertility in the past, > endometriosis, etc. My partner got pulled into the room during > attempted placement to complete the placement, without the benefit of > reviewing the history. I had the pleasure of seeing the patient a > couple of months later for problems, and when I reviewed her history, I > reviewed it with our CNM and pointed out that I personally would have > been reluctant to put it in, and that she needs to run cases that aren't > straightforward by one of the MDs prior to placement. > > Garry > > -- > Garry E. Siegel, M.D., FACOG > Private Practice > Roswell, Ga >> > > Actually, how cost-effective is putting an IUD in a 48yr old? Would doing a > day 3 FSH be a pointer to how her chances of getting pregnant would be? Would > placing an IUD in a patient ( not necessarily this one) with a history of > infertility increase the risk of ectopic pregnancy? > > Robert Modugno MD FACOG > Arista OB/GYN > Alpharetta, Woodstock & Cumming GA Next message: mailist@isralink.co.il: "Obstetrics, Gynecology & Infertility Congress invitation" Previous message: Gerard Miranda: "Re: gowns" Maybe in reply to: Deborah J. Wage FNP, CNM: "IUD and PID" Next in thread: Braun, R. Daniel: "Re: IUD and PID"

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