-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: OB: Severe Pre-eclampsia From: ainsron (ainsron@sbcglobal.net) Thu Oct 6 10:18:07 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: OB: Severe Pre-eclampsia" Previous message: Andrew Folley: "Re: Gyn: Amenorrhea" In reply to: rmodugno@aol.com: "Re: OB: Severe Pre-eclampsia" Next in thread: Robert J. Carpenter, Jr. MD: "Re: OB: Severe Pre-eclampsia" Induce now (yesterday if possible) and I would definitely use Mag sulfate. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of rmodugno@aol.com Sent: Thursday, October 06, 2005 4:15 AM To: Multiple recipients of list OB-GYN-L Subject: Re: OB: Severe Pre-eclampsia Induce - cervidil or cytotec, then pitocin - mag sulfate if you must. (You don't need no steenkin' MFM! Sorry Dr Montgomery!) Robert Modugno MD MBA FACOG Marietta, GA -----Original Message----- From: Garry E. Siegel, M.D. <garrys@mindspring.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Wed, 5 Oct 2005 17:15:37 -0500 Subject: OB: Severe Pre-eclampsia 36 YO P1001 admitted at 34w2d with 150/90, 2+ protein, no symptoms, normal SGOT, platelets, and creatinine of 0.7. 24 hour protein 2.6 grams while in house. Next 24 hour urine begun. Our MFMs generally say don't deliver for severe disease if only for proteinuria, but generally that seems to be for the under 32-weekers. Usually, by the time they are severe by proteinuria, something else declares itself such that delivery is necessary. The next urine came back at 34w6d at 6.2 grams; other labs normal. Her cervix is long/closed, and she's delivered vaginally before at term without PIH. The MFM scan is normal with normal dopplers, 8/8 BPP and OK growth. What would you do? If you choose to induce, would you use Magnesium Sulfate? Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Henry Gregor: "Re: OB: Severe Pre-eclampsia" Previous message: Andrew Folley: "Re: Gyn: Amenorrhea" In reply to: rmodugno@aol.com: "Re: OB: Severe Pre-eclampsia" Next in thread: Robert J. Carpenter, Jr. MD: "Re: OB: Severe Pre-eclampsia"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:41:13 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.