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Re: 34 week promFrom: rmodugno@aol.comFri Apr 8 08:07:25 2005
-----Original Message----- From: R. Daniel Braun <rd.braun@gmail.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Fri, 8 Apr 2005 06:48:59 -0500 Subject: Re: 34 week prom I would manage by doing 1. NO digital vaginal exams, 2. Ampicillin 3. Steroids 4. Observation IN HOSPITAL until: A. Reaches 37 weeks or B. Shows signs of infection. My observation in addition to Temperature recording would include a daily 10 min FHR strip for BASELINE FHR. The baseline FHR will increase prior to most other signs of infection. Would also daily palpate for tenderness. Labor in a patient with ROM may well be a sign of infection and hence an indication for delivery. Dan
On Apr 7, 2005 7:58 PM, Robert J. Carpenter, Jr. MD <zygote@icsi.net> wrote:
> Not if I have my say and nature is cooperative with no labor, no infection, Not sure steroids that helpful from 34 weeks. In our level 3 hospital would probably deliver as outcomes at 34 weeks are excellent. Robert Modugno MD MBA FACOG Marietta, GA
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