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Re: 2 mid-trimester losses secondary to PROM, ***More information/another ? for Dr. Marchbein***
From: susan (anonymous@obgyn.net)
Mon, 28 Jan 2002 19:03:06 -0600 (CST)
Thank you Dr. Marchbein. My cervix has always been long and closed on
initial exam (initial presentation to L&D). My MD said that they could
do a cerclage, but it would only be because they felt like they had to
'do something'. Would a cerclage be beneficial without having an
incompetent cervix, just to help prevent infection?
At Mon, 28 Jan 2002, Harvey S. Marchbein, M.D. wrote:
>
>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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