Re: Anhydramnion

From: poongulali selvamuthu (pselvamuthu@yahoo.com)
Thu Feb 9 04:17:58 2006


will amnioinfusion be of any use atleast while delivering her.can we really wait? I have seen babies really sick after delivery and on eneonate expired had severe septicaemei but mother was trotally asymptomatic and the AFI was 4. Poongulali

--- "Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C." <johnprov@sympatico.ca> wrote:

> 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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