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Re: preterm ROMFrom: anuradha akolekar (anu_doc2003@yahoo.com)Thu Mar 11 07:43:34 2004
11-03-04 Hi I would say once there is a prom and with the patient already detected to have UTI there would be no role of tocolysis as there would be a greater risk of chorioamnionitis.Secondly with a cervical dilatation of 3-4 cms it is most likely that the patient will go into preterm labour wether or not tocolysis is given.The best course of action would be to do serial scans for AFI and blood tests to rule out infection and leave the patient alone ofcourse in the hospital. "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com> wrote: st1\:*{behavior:url(#default#ieooui) } 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 L. Udall Yahoo! Search - Find what you’re looking for faster.
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