Re: Interesting case: Twins, 19 weeks, PPROM,etc.
From: Efrain Ramirez (eramirezt@coqui.net)
Thu Mar 17 03:35:14 2005
- Messages sorted by: [ date ][ thread ][ subject ][ author ]
- Next message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Ultrasound as part of the normal exam"
- Previous message: Charlie Chambers: "Re: Interesting case: Twins, 19 weeks, PPROM,etc."
- Next in thread: art fougner, md: "Re: Interesting case: Twins, 19 weeks, PPROM,etc."
- Reply: art fougner, md: "Re: Interesting case: Twins, 19 weeks, PPROM,etc."
We had an almost identical case some months ago - did the same thing -
but - the second twin was delivered (stillborn??) about 2 weeks later..
good luck Brian!!
>At Wed, 16 Mar 2005, Brian Fox wrote:
>
>Now for the rest of the story. And so many people think nothing much
>happens out in the boondocks.
>
>The patient felt something in the vagina about 36 hours after
>admission; this proved to be a solitary fetal leg. Still no evidence of
>infection; she was advised the loss of the leading twin was now inevitable, and
> loss of the 2nd was likely; she was having a few mild cramps. Over the
> course of the next 10 hours she reported some additional mild
>cramping; some additional sensations in the vagina that proved to be due to
> successive delivery of the other leg, then the torso, and, finally, the
> head. Fetus was stillborn. Cord was tied off just inside of the cervix
> with an Endoloop, and cut. The cervix then proceeded to close down.
> Remaining twin was active and viable. She was watched in the hospital
> overnight. Next morning, no cramps, no unusual discharge, Cervix
> visualized and seen to be closed.
>
> Seen in office Monday; no fever, no cramps, no unusual vaginal
>discharge. Cervix closed. Fetus B is active, strong and regular fetal heart tones. Advised to rest often; to place nothing in the vagina; take temperature twice/day; call if any feelings of ill health, etc. To be seen twice/week and PRN. She continues to smoke and indulge in her other
> usual habits. I told her that today she is a walking miracle, but could not provide any promise about the future.
>
> PS. Cowboy poetry festival is every year, last week of January; quite a gathering.
>
>--
> Brian W. Fox, MD, FACOG, Ruby Mountain OB-GYN
> 1995 Errecart Blvd., Suite 103
> Elko, NV 89801
>
--
I think I will do nothing for a long time but listen,
And accrue what I hear into myself...and let sounds
contribute toward me.
~walt whitman~
- Next message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Ultrasound as part of the normal exam"
- Previous message: Charlie Chambers: "Re: Interesting case: Twins, 19 weeks, PPROM,etc."
- Next in thread: art fougner, md: "Re: Interesting case: Twins, 19 weeks, PPROM,etc."
- Reply: art fougner, md: "Re: Interesting case: Twins, 19 weeks, PPROM,etc."
|
|
