Re: 2 mid-trimester losses secondary to PROM
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 28 Jan 2002 18:24:20 -0600 (CST)
My only addition concern would be about an incompetent cervix leading to
all of this. I wonder if a cerclage might not help. Something to
discuss with your doctors.
Hope this helps and write back anytime for more information.
Dr. M
At Sun, 27 Jan 2002, susan wrote:
>
>I had the first loss in Sept 01, 16 weeks gestation---PROM. Nothing
>definitive was found on pathology, cultures neg. and the chromosomes
>were normal. The second one was at 18 1/2 weeks on Dec 01, 2002 also
>due to PROM. Vaginal culture was + for e-coli, and the pathology showed
>chorionitis, chromosomes normal. Now, my question for you: What type of
>prenatal care would you give your patient with this history? I love my
>OB/GYN and perinatologist, but I will constantly be searching because I
>am so scared that this will happen again. A little more history: I am
>36, on Cardizem and Atenolol for hypertension (well controlled) and on
>Levoxyl for my hypothyroid. I appreciate your advice, and thank you in
>advance.
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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