Re: opinion on pprom with 17 weeks

From: art fougner, md (evsono@pipeline.com)
Sat Oct 29 19:08:40 2005


Anna,

I've had the same anecdotal experience. Perhaps a re-evaluation of AF Volume a week after ROM ( circumstances permitting) might suggest which patients might achieve sufficient latency. Of course, I've also seen a case whose latency ended tragically at 24 wks with clinical chorioamnionitis, a Cesarean for Fetal Distress, and long term morbidity. It's a Hobson's choice to be sure.

Art

At Sat, 29 Oct 2005, Anna Meenan, MD wrote: >
>I have cared for one pprom at 17 weeks that went to term and resulted in
>a healthy baby. Mom would not allow any interventions and said "Leave
>it in God's hands." Of course, pt needs to be informed of risk of
>infection, amniotic bands, etc. etc. if she decides to try to carry to
>term.
>
>--
> Anna Meenan, MD
>
>At Sat, 29 Oct 2005, Peter Wein wrote:
>>
>>You need to discuss outcome with patient - it can be better thatn
>>previously thought, but still realistically max chance of survival 20%.
>>
>>--
>>Peter Wein
>>
>>Ricardo Savaris wrote:
>>
>>>Dear all,
>>>
>>>We normally induce with misoprostol pregnancies under 20 wks, when there is
>>>rupture of membranes, even if the baby is alive.
>>>I would like to know your management. Do you induce in most of the cases, or
>>>not? if not, when does it happen?
>>>
>>>Thank you all
>>>
>>>Ricardo
>>>
>>>--
>>>No virus found in this outgoing message.
>>>Checked by AVG Free Edition.
>>>Version: 7.1.361 / Virus Database: 267.12.5/149 - Release Date: 25/10/2005
>>>

--
art fougner, md

"I knew I was going to take the wrong train, so I left early." Lawrence Peter Berra





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