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Re: OB: Severe Pre-eclampsia From: Robert J. Carpenter, Jr. MD (zygote@icsi.net) Thu Oct 6 11:12:28 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Myer S. Bornstein: "Re: Standing Room Only- triage strategies" Previous message: Richard Chudacoff, MD: "Re: OB: Severe Pre-eclampsia" In reply to: rmodugno@aol.com: "Re: OB: Severe Pre-eclampsia" Next in thread: Lynn D. Montgomery, M.D.: "Re: OB: Severe Pre-eclampsia" >From an ancient MFM (older than Lynn and younger than Dan), those who say deliver have my nod. Induction with cx ripening sounds appropriate. Give Mg and if she changes then do what is right! Agree, don't need MFM for this outcome and management!!!!! On 6 Oct 2005 at 6:15, rmodugno@aol.com wrote: > 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 > -- Robert J. Carpenter, Jr. MD 6624 Fannin, #2720 St. Luke's Medical Tower Houston,TX 77030-2339 713-795-4600 Next message: Myer S. Bornstein: "Re: Standing Room Only- triage strategies" Previous message: Richard Chudacoff, MD: "Re: OB: Severe Pre-eclampsia" In reply to: rmodugno@aol.com: "Re: OB: Severe Pre-eclampsia" Next in thread: Lynn D. Montgomery, M.D.: "Re: OB: Severe Pre-eclampsia"

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