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Re : Elective Classical CS & TAH From: Bernard Cristalli (bcrist@club-internet.fr) Thu Oct 7 17:01:43 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re : Do you perform reconstruction of the hymen on request?" Previous message: Bernard Cristalli: "Re : Ob: Trial of Forceps" Practical and pragmatical position indeed. --- -- Bernard Cristalli MD AMACOG AIHP - ACCA Paris France Bernard.Cristalli@CliniquedelEssonne.fr http://www.CliniquedelEssonne.fr http://www.obgyn.net/corresp/cristalli.htm ---------- >De : "Malcolm Griffiths" <obsdoc@doctors.org.uk> >À : Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net> >Objet : Elective Classical CS & TAH >Date : Jeu 7 oct 1999 22:38 > >I have a 46 yo (multip) patient with uterine fibroids pre-pregnancy to 14/16 >weeks size associated with painful heavy periods. She is pregnant >(unplanned pregnancy, doesn't want more children) (36w [I did amnio and she >has a chromosomally normal fetus.]) and has a transverse lie. > >I am intending to review at 38 weeks and if still transverse do CS (quelle >surprise!). > >Given the fibroids and the problems they were giving pre-pregnancy and her >age/future plans, I am advising a CS (?classical) with TAH at same op. This >is obviously a practical proposition, but I feel it is also justified in a >risk basis - in that there is probably a greater risk of bleeding with CS >alone and that that bleeding may necessitate TAH. > >What do you all think? > >Malcolm GRIFFITHS, Ob/Gyn E-mail obsdoc@doctors.org.uk >Dept of Obs & Gynae +44(0)1582-497533 (Sec) 21, School >Lane, >Luton & Dunstable Hospital, +44(0)1582-497376 (Fax/me) Eaton Bray, >Lewsey Road, +44(0)1525-222849 (Home) >DUNSTABLE, >LUTON, LU4 0DZ.. +44(0)1525-222643 (Fax) >Beds., LU6 2DT.. > Next message: Bernard Cristalli: "Re : Do you perform reconstruction of the hymen on request?" Previous message: Bernard Cristalli: "Re : Ob: Trial of Forceps"

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