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Re: Polyhydramnios case From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Tue Aug 10 17:25:42 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: IUD removal" Previous message: Charlie Chambers: "Re: GYN: IUD removal" In reply to: Garry E. Siegel, M.D.: "OB: Polyhydramnios case" Next in thread: Efrain Ramirez: "Re: OB: Polyhydramnios case" #2 for your health, but #5 would be a great option, too -- Richard Chudacoff, MD A countryman between two lawyers is like a fish between two cats. Benjamin Franklin Heaven grant that the burden you carry may have as easy an exit as it had an entrance. [Prayer To A Pregnant Woman] -Desiderius Erasmus -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Tuesday, August 10, 2004 4:55 PM To: Multiple recipients of list OB-GYN-L Subject: OB: Polyhydramnios case 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 Next message: Richard Chudacoff, MD: "Re: IUD removal" Previous message: Charlie Chambers: "Re: GYN: IUD removal" In reply to: Garry E. Siegel, M.D.: "OB: Polyhydramnios case" Next in thread: Efrain Ramirez: "Re: OB: Polyhydramnios case"

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