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Re: GYN: IUD removal From: Charlie Chambers (cchamber@gorge.net) Tue Aug 10 17:09:26 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Polyhydramnios case" Previous message: Charlie Chambers: "Re: GYN: IUD removal" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: IUD removal" Next in thread: Joseph Shaeffer: "Re: GYN: IUD removal" Reply: Joseph Shaeffer: "Re: GYN: IUD removal" >From cchamber@gorge.net Tue Aug 10 17:09:21 2004 Received: from gndata.gorge.net (internal.gorge.net [209.216.160.99]) by dns.obgyn.net (8.11.6/8.11.6/dsb-1.1) with ESMTP id i7AM9IV24104 for <ob-gyn-l@dns.obgyn.net>; Tue, 10 Aug 2004 17:09:18 -0500 Received: from [192.168.1.101] (unverified [209.216.163.173]) by gorge.net (Rockliffe SMTPRA 6.0.11) with ESMTP id <B3061672303@gndata.gorge.net>; Tue, 10 Aug 2004 15:09:17 -0700 In-Reply-To: <200408102153.i7ALrWL09329@dns.obgyn.net> References: <200408102153.i7ALrWL09329@dns.obgyn.net> Mime-Version: 1.0 (Apple Message framework v618) Content-Type: text/plain; charset=US-ASCII; delsp=yes; format=flowed Message-Id: <EA755898-EB19-11D8-B38E-000393530A36@gorge.net> Content-Transfer-Encoding: 7bit Cc: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> From: Charlie Chambers <cchamber@gorge.net> Subject: Re: OB: Polyhydramnios case Date: Tue, 10 Aug 2004 15:09:14 -0700 To: ob-gyn-l@obgyn.net X-Mailer: Apple Mail (2.618) I don't know that I feel strongly about this suggestion, but, how about a reduction amnio then AROM? On Aug 10, 2004, at 2:55 PM, 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 > ************************************************************************ **** Charlie Chambers -- Hood River, OR cchamber@alumni.rice.edu "Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. ************************************************************************ ******* Next message: Richard Chudacoff, MD: "Re: Polyhydramnios case" Previous message: Charlie Chambers: "Re: GYN: IUD removal" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: IUD removal" Next in thread: Joseph Shaeffer: "Re: GYN: IUD removal" Reply: Joseph Shaeffer: "Re: GYN: IUD removal"

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