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Re: 2 mid-trimester losses secondary to PROM, ***More information/another ? for Dr. Marchbein***
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 29 Jan 2002 15:59:33 -0600 (CST)
With no cervical changes, probably not.
Dr. M
At Mon, 28 Jan 2002, susan wrote:
>
>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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