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Re: OB: Polyhydramnios case From: art fougner, md (evsono@pipeline.com) Tue Aug 10 17:04:31 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: GYN: IUD removal" Previous message: art fougner, md: "Re: GYN: IUD removal" In reply to: Garry E. Siegel, M.D.: "OB: Polyhydramnios case" Next in thread: Richard Chudacoff, MD: "Re: Polyhydramnios case" by all best estimates and ultrasound, is this a normal baby? art At Tue, 10 Aug 2004, Garry E. Siegel, M.D. wrote: > >34 YO P1102 at 36+2 was found to have idiopathic polyhydramnios at 34 >weeks. Normal repeat glucose screen, normal level 2 scan. > >Presents at 0200 with mild contractions, cervix by RN 3-4/50/high; was >2/50/high in the office a few days beforehand. > >0800--FH 41 cm., cervix 3-4/50/very high such that I only felt the >amniotic membrane and no presenting part. Vertex by ultrasound, >contractions mild but steady and getting a bit worse. > >1300--5-6/50/very high but felt a hand flit by. Contractions about the >same. > >What are your concerns? How would you handle this? Any interventions to >make? > >Choices: >1. Do nothing. >2. Section now. >3. Pitocin >4. Careful ROM, say with Pudendal needle. >5. Place epidural--then could do nothing, start Pitocin, or AROM, or >reassess. > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- art fougner, md ich bin ein New Yorker Next message: Charlie Chambers: "Re: GYN: IUD removal" Previous message: art fougner, md: "Re: GYN: IUD removal" In reply to: Garry E. Siegel, M.D.: "OB: Polyhydramnios case" Next in thread: Richard Chudacoff, MD: "Re: Polyhydramnios case"

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