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Cesarea programada?From: berg@usa.netWed, 6 Aug 1997 01:04:46 +0000
Date sent: Mon, 4 Aug 1997 21:38:32 -0500 Send reply to: ob-gyn-l@obgyn.net
Geffrey H. Klein, MD wrote:
> A woman with a prior cesarean section who has already been counseled Geff- Agreed, and it's also bad medicine. The outcome for c/sections performed after labor starts is generally worse than for those performed before the onset of labor. While I have had patients who decide on an elective repeat c/section then come in prior to the scheduled procedure in labor and happily deliver vaginally, there are others who come in with ruptured membranes, at 5cm, who demand a c/section. The chance of chorioamnionitis, atony, etc. rises when c/sections are performed after labor begins. So, after she makes "the call" and decides on a repeat c/section, I schedule it per ACOG guidelines as close to 39 weeks as possible. Ashley D. Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Qual a opiniao dos colegas? E qto ao aspecto maturidade fetal?
Voltar para Administrador da lista: flavio.monteiro.desouza@obgyn.net Solicitações à lista: obstet-l-request@obgyn.net Última atualização: Mon May 19 16:35:17 2008 |
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