preterm ROM

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Wed Mar 10 13:16:50 2004


Dang, it has been a couple of years since I had one of these.

27 yo G3 P2 at 32+4 weeks EGA, admitted 36 hours ago with PTL. Stopped with Terbutaline. Finished Dexamethasone this morning, has been on Ampicillin since admission, as well as Macrobid for a presumptive UTI picked up a day earlier. Cervix at admission was 70%/3-4 cm/-2, and this AM 40%/1-2/way up high. Already to go home to bed rest, then she SROMs.

No question of her staying in the house now, but do I add another antibiotic? Do I keep her on Terbutaline (which can mask HR elevation?)

Oh ya, her husband is an MD, so you KNOW this was going to happen

--
Richard Chudacoff, MD

[We stand] today poised on a pinnacle of wealth and

power, yet we live in a land of vanishing beauty, of

increasing ugliness, of shrinking open space and of an

overall environment that is diminished daily by pollution

and noise and blight. This, in brief, is the quiet

conservation crisis.

Stewart <http://www.brainyquote.com/quotes/quotes/s/stewartlu112379.html> L. Udall





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