Re: PPROM at 32 weeks in twins

From: Joe (forcep@intercom.net)
Tue Aug 29 07:10:07 2006


To the nursery now via CS. Joe C

Diana Saari MD wrote:

> 21 yo cauc G1 P0 at 32+3, well-controlled A-1 GDM, mono/di twins with
> evolving TTTS, PPROM A. vtx/vtx; 3lbs/3.75 lbs; AFI 3cm/10cm deepest
> pkt before rupture. Something must have been afoot before this, because
> she thankfully got steroids about 48hours prior to rupture (not my
> patient then).
>
> Would you:
> Deliver? If so, how?
> Give abx and sit? How long would you sit?
> Send AF pool for FLM and do something based on the results?
>
> Didn't agree with my MFM on this one, and believe that the literature
> backs me up.
>
> --
> Diana Saari MD FACOG
> guto0002@tc.umn.edu
> University Specialists in Women's Health
> Minneapolis, MN
>





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