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Re: Chorioamnionitis: Question In response to Dr. Richard ChudacoffFrom: Richard M. Chudacoff, MD (anonymous@obgyn.net)Tue, 3 Nov 1998 11:28:52 -0600 (CST)
At Tue, 3 Nov 1998, Marcia wrote: > >This is really interesting to me because at the practice I went to, the >cervix is not checked until you are admitted to the hospital, presumedly >in labor. At a larger hospital in a nearby city (more cosmopolitan, I >guess ;)), cervical checks are done for the last month or so as a matter >of course. I've heard so many women talk about getting them that I >thought that my OB's must be odd. > >So, do you *not* do cervical checks, Dr. Chudacoff? I routinely exam the cervix at 40 weeks gestational age (at term), unless the situation dictates the need for an earlier exam, ie. labor, rupture of membranes, bleeding ( in absence of placenta previa and after speculum exam) or evaluation for need to deliver prior to onset of spontaneous labor. My partner starts at 38 weeks. His preference. My wife's first OB examed the cervix at every visit (he was 65 yo at the time) but her subsequent OB did the same as I (well, after all he trained me ;-) ) Again, no hard and fast rule or data suggesting one or the other is better in a normal, routine pregnancy.
-- Richard Chudacoff, MD Baylor College of Medicine BaylorMedCare Houston/Sugar Land, TX
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