Re: OB: Hypertension

From: art fougner, md (evsono@pipeline.com)
Wed Jul 20 16:38:42 2005


Garry

have you admitted her to AP ?

art

At Wed, 20 Jul 2005, DoctorJoe@aol.com wrote: >
>In a message dated 7/20/05 4:07:07 PM, garrys@mindspring.com writes:
>
>> Her, the two readings are 145/95 and 150/90 about an hour later. She
>> has only gained 2 pounds in 2 weeks, has a bit of edema, and no
>> proteinura. She is not hyperreflexic.
>>
>> What is your next step?
>>
>Fetal surveillance and bed rest.
>
>She's old and near term and hypertensive and I would take ANY excuse to do
>repeat C/S.
>
>If the surveillance is good and BP a little lower and STABLE on bedrest, th n
>I'd seriously plant in her mind the idea of delivery at 38 weeks instead of
>39.
>
>Otherwise, like I said - at the drop of a hat (and I'll even give you the h t
>to drop).
>
>Joe P.

--
art fougner, md

"If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra





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