Re: When to cut
From: art fougner, md (evsono@pipeline.com)
Mon Nov 15 06:50:26 2004
Any pressing indication for NOT delivering?
art
At Mon, 15 Nov 2004, Elrod Darryl G MAJ 48 MDOS/SGOBO wrote:
>
>32 yo G4P3 at 37wks with three prior csections, the first was for
>failure to progress (arrest of dilation) the rest were repeats. Now
>contracting every 3 minutes, but not showing any cervical change. I
>hydrated her last week (36wks) for the same and contractions stopped and
>she went home.
>
>My question is, with prior sections does the definition of "labor" i.e.
>regular contractions with cervical change still apply? Is there a
>gestation that if they are contracting regularly you would section due
>to potential risk of rupture?
>
>I guess I just have a hard time sending someone home that is contracting
>with three prior sections because she is not 'in labor'
>
>Glen
>
>D. Glen Elrod, Maj USAF, MC
>
>Obstetrician/Gynecologist
>
>Maternal Child Flight
>
>48 MDOS/SGOBO
>
>UNIT 5210 Box 23
>
>APO, AE 09464
>
>DSN (314) 226-8334
>
>Comm 01638-52-8334
>
>Notice of Confidentiality
>Under the Privacy Act of 1974, you must safeguard all information
>reflected on this Email and, if applicable, all attachments. Disclosure
>of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132,
>AFI 33-219, and PL 93-579"
>This document may contain information covered under the Privacy Act, 5
>USC 552(a), and/or the Health Insurance Portability and Accountability
>Act (PL 104-191) and its various implementing regulations and must be
>protected in accordance with those provisions. Healthcare information is
>personal and sensitive and must be treated accordingly. See
><https://sg.usafe.af.mil/HIPAADisclosure.cfm> for full details.
>
>________________________________
>
>________________________________
>
>--
>________________________________
>
>________________________________
--
art fougner, md
ich bin ein New Yorker
