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Re: PPROM at 32 weeks in twins From: ainsron (ainsron@sbcglobal.net) Tue Aug 29 09:38:44 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudaoff: "Re: GYN: Business question, modifier 22." Previous message: ainsron: "RE: OB:  What would you do" In reply to: Diana Saari MD: "PPROM at 32 weeks in twins" Observe in the hospital, wait for onset of labor or early evidence of Chorio. Deliver vaginally unless obstetrical reasons develop. Induce at 34 weeks if she doesn't go into labor by then. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Diana Saari MD Sent: Monday, August 28, 2006 9:20 PM To: Multiple recipients of list OB-GYN-L Subject: PPROM at 32 weeks in twins 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 Next message: Richard Chudaoff: "Re: GYN: Business question, modifier 22." Previous message: ainsron: "RE: OB:  What would you do" In reply to: Diana Saari MD: "PPROM at 32 weeks in twins"

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