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Re: AnhydramnionFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Wed Feb 8 16:37:53 2006
At Thu, 09 Feb 2006, Dr Eberhard Lisse wrote: > >Yesterday I inherited a patient who is 28 weeks according to reliable >dates, with vaginal bleeding and pain for a few days and rupture of >membranes for a few weeks. > >On Ultrasound done by the colleague she was 26 weeks and on mine she was >26 weeks plus a day or so (so she is 28 weeks), with no sign of >abruption of the fundal placenta, but no fluid whatsoever. > >She is on Antibiotics, we are busy with the Steroids, and the CTGs look >good. WCC was 13 yesterday, haven't seen the one from this morning. > >Tomorrow morning we are going to run out of ivi beta-agonist >(Hexoprenaline). Prescription card has been misplaced, fluid charts for >the last 5 days including yesterday's have been misplaced, the patient >said she did not get the Hexoprenaline over night. The Midwives stopped >Hexoprenaline this moorning without contacting me. > >Anyone have a bright idea? > >el Stop everything but antibiotics, induce if she gets a temp of 37.9 or if she gets to 32 wks.
--
Take care, John
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