PREGNANCY-BIRTH Messages for January, 2001: Re: Can stripping membranes lead to infection?

search:

Re: Can stripping membranes lead to infection?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 28 Jan 2001 10:19:15 -0600 (CST)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: Harvey S. Marchbein, M.D.: "Re: Biaxin and Pregnancy? Please Help!"
Previous message: Harvey S. Marchbein, M.D.: "Re: Incompetent Cervix"
In reply to: Becky: "Can stripping membranes lead to infection?"

At Sat, 27 Jan 2001, Becky wrote: >
>I lost a baby due to GBS sepsis. I delivered two days before my due
>date. He showed fetal distress throughout labor and then aspirated
>meconium prior to delivery. He was rescusitated after 35 minutes, but
>was braindead.
>
>We discussed our case with the neonatalogist recently and she suggested
>that I had developed chorioamnionitis earlier than I originally thought
>because of the severity of the infection. I didn't know my membranes
>were leaking until I came to the hospital, so I have no way of knowing
>for sure how long they were ruptured.
>
>Looking back, I do remember that my doctor did a pelvic exam two days
>before I went to the hospital. The exam was very painful, and after he
>left the room and I sat up, I had a gush of blood. I found his nurse in
>the hall and showed her the blood, but she told me that was normal after
>an exam. It now seems likely that he stripped my membranes during that
>exam.

First let me say how sorry I am for your tragic loss. As we say amonst our friends at such times " May you know no further sorrow".

>My question is -- is it likely that by stripping my membranes he also
>caused a small tear?

Two points - we don't know that the membranes were indeed stripped. Bleeding after an exam is not unusual. Second, a micro tear is possible even without "stripping membranes" since some women get infected without exams. If someone is a known GBS carrier, the only thing we do differently is treat with antibiotics as soon as ruptured membranes is diagnosed on when in labor.

Hope this helps and write back anytime for more information.

HSM

>If so, it seems to me that ob's should not strip
>the membranes of women with GBS. At the very least, he should have
>informed me of what he had done, so that I could be more vigilant about
>looking for signs of ruptured membranes.
>
>--
>Becky
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Please be aware that all e-mail on this forum is archived and can be viewed at
http://forums.obgyn.net/womens-health,
http://forums.obgyn.net/pregnancy-birth or
http://forums.obgyn.net/young-women
and is accessible to anybody on the
internet including internet search engines.  This should be taken into
consideration before sending postings of a personal or confidential nature.

Next message: Harvey S. Marchbein, M.D.: "Re: Biaxin and Pregnancy? Please Help!"
Previous message: Harvey S. Marchbein, M.D.: "Re: Incompetent Cervix"
In reply to: Becky: "Can stripping membranes lead to infection?"

recommended search...

OBGYN.net forums endometriosis zone Web

use when must restrict search to only the pregnancy & birth forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to Report TECHNICAL Problems ONLY to: webmaster@obgyn.net
Last Updated: Thu Jun 18 13:43:54 2009

Women's Insurance Checklist from Auto Insurance Quote