a) Do you think all gynaes are equally good enough in placing the McDonald stitch, or should i question my Dr if he has had enough experience. My FS said its an insult to ask a gynae if he can place a stitch, its like asking him if he can perform a cecarean. b) What is the aftercare after the stitch is placed? Do you have to stay in bed for the remainder of the pregnancy? what may you and may not do? how often do you have to go to gynae?Wednesday, March 26th, 2008
a) I agree with your gyne – placing a stitch is part of routine gynecology and obstetric training and should be in the scope of all gyne’s.
b) Aftercare depends on the indication for the suture – elective or emergency. If it was an elective suture, the patient is kept overnight for observation and discharged the next morning with instructions re. “pelvic precautions” This means abstaining from intercourse and inserting objects into the vagina. Weekly follow up is indicated to evaluate the performance of the suture. Emergency sutures have a different aftercare course as these patients will stay in hospital longer for observation and suppression of contractions and signs of ascending infections etc.
- Week 6 answers kindly provided by Dr. Stephan Volschenk -