Re: Threatenad abortion and usg

From: Daniel Margulies (danymarg@fibertel.com.ar)
Sat Dec 22 14:55:14 2001


Long time ago, speaking to Prof. Manfred Hansmann ( 1983 ) I have asked him how to name the study, Endovaginal or transvaginal and He answered " It all depends on how hard you push " Sorry for the joke

Phisically is absolutelly imposible that the full bladder or the normal pressure of the probe can initiate an abortion. Just impossible

--
Daniel Margulies

> ----- Original Message ----- From: Allen Worrall To: Multiple recipients of list ULTRASOUND Sent: Saturday, December 22, 2001 2:45 PM Subject: Re: Threatenad abortion and usg

I do not believe the full bladder or the transducer pressure had anything to do with this patient's spontaneous abortion.

I also do not believe that transvaginal ultrasound has anything to do with spontaneous abortion, and I believe transvaginal ultrasound is a much better way to evaluate vaginal bleeding during the 1st trimester of pregnancy.

However, we cannot control what our patient's believe and there is always the risk of the patient believing that the ultrasound should not have been done, and that the ultrasound caused the miscarriage. Patients are more likely to blame a transvaginal scan that a transabdominal scan in my opinion. I personally have never had the problem of a patient accusing me of causing a miscarriage by ultrasound.

If the sonographer or sonologist or radiologist is telling your patients that ultrasound will cause a miscarriage, you have a problem.

Joseph A Worrall MD RDMS OB/GYN Ultrasound at the Fairbanks Clinic Fairbanks, Alaska, USA jworrall@alaska.net http://www.obgynsono.com




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