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Re: 28 week PROM From: Robert J. Carpenter, Jr. MD (zygote@icsi.net) Sat Nov 12 10:49:16 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Carpenter, Jr. MD: "Re: Twins and VBAC" Previous message: Natalie Melanson Martin: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?" In reply to: Andrew Folley: "Re: 28 week PROM" Next in thread: Efrain Ramirez: "Re: 28 week PROM" Given gestational age, I have never been an inducer without good reson. Having seen many such babies go days and weeks post rupture, I sit. That means thrice daily EFM assessment for surveillance. If even a hint of Chorio pops up, then delivery. If it occurs, I also do not go 12-24 hrs to achieve vag delivery. Given FIRS delivery should be expeditious. By that I do not mena an immediate C/S. On 11 Nov 2005 at 20:39, Andrew Folley wrote: > > G1P0 28 week PROM wed am. Received steroids and on antibiotics. Cx 3 > cm 90% no ctxs. Echo vertex AFI 3 2#7oz Inital WBC 17000 and > CRP elevated at 2.1 > No maternal fever or tachycardia. FHTs reassuring. In level III > hospital. > > What to do? Sit tight and wait for obvious chorio? Induce 24 to 48 > after Prom? andrew > -- Robert J. Carpenter, Jr. MD 6624 Fannin, #2720 St. Luke's Medical Tower Houston,TX 77030-2339 713-795-4600 Next message: Robert J. Carpenter, Jr. MD: "Re: Twins and VBAC" Previous message: Natalie Melanson Martin: "Re: Impaired Glucose Tolerance vs Gestational Diabetes - treatment?" In reply to: Andrew Folley: "Re: 28 week PROM" Next in thread: Efrain Ramirez: "Re: 28 week PROM"

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