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COTW SMNET Catch of the week 23/1/12

Discussion in 'Catch Of The Day' started by iolaus, Jan 23, 2012.

  1. Koalagrrry Well-Known Member

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    Oh dear, I agree, this doesnt sound too good!
  2. iolaus Education Moderator

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    The doctor then leaves, help Emma dress and give a pad, the nurse says that quite a large section of cervix has been removed but that it should all heal normally. Give Emma a leaflet explaining the procedure and aftercare and tell her to contact her GP if she notices any bleeding or offensive odour to discharge lasting more than a few days, advise her not to drive home.
  3. muffinbuns Member

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    Offer to call Emma's husband to come and pick her up, or someone else in the family if she wants. Give her the leaflets and information and make her a follow up appointment? She will need smears every 3 months for the next year (I think?). Not sure what else to add, did we find out why the nurse pulled a face?
  4. Redpiggy Well-Known Member

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    I'm assuming the face was due to the amount of cervix removed?
  5. Starrlamia Active Member

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    have her sit down for a few minutes to make sure she is ok, at least thats what they did for me because of the local.

    smears every 6 months? make an appointment for a follow up to discuss the results of the tissue removed, assuming they are testing it further to confirm what level of dysplasia it is.
  6. iolaus Education Moderator

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    Six weeks later Emma attends a follow up appointment at her GP, he remarks that although it has healed well practically no cervix is now remaining, as a result she cannot have a coil/mirena device fitted (he did try but could not insert it).
    Annual smears are recommended for the first 5 years to ensure the changes don’t return, 3 years later Emma conceives again and was concerned that the scarring would prevent her cervix from dilating, the was unfounded as she laboured in a similar fashion to her other babies.

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  7. MrsSkip Moderator

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    Glad it didn't affect her next pregnancy. I helped look after a lady whose cervix did not dilate after a similar procedure, but was completely effaced, confusing the 3 MW's who VE'd her! She ended up with a section.

    Thanks for another fascinating COTW!!
  8. Koalagrrry Well-Known Member

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    Aw. thats good- I hope she was WANTING to conceive again by then!!!
  9. muffinbuns Member

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    This was an interesting one - you would think that if any cervix wouldn't dilate it would be Emma's but clearly things don't always go by the book! Glad that everything went well and she had another baby, happy ending :)
  10. Mum of three Member

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    Really interesting, thank you

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