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Re: PPROM at 32 weeks in twins From: Andrew Folley (agfolley@hotmail.com) Tue Aug 29 12:05:30 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudaoff: "Re: OB: What would you do" Previous message: Andrew Folley: "Re: OB: What would you do" In reply to: Joe: "Re: PPROM at 32 weeks in twins" Next in thread: Garry E. Siegel, M.D.: "Re: PPROM at 32 weeks in twins" Reply: Garry E. Siegel, M.D.: "Re: PPROM at 32 weeks in twins" 34 weeks and after with prom deliver. less than 32 wait. 32-34 is grey zone. She has recieved steroids which is wonderful. You could make an argument for giving antibiotics and following CRP and WBC and waiting to deliver at 34 weeks. On the other hand if the first baby is breech I would problably deliver by csection now rather than risk a prolapsed cord. andrew >From: Joe <forcep@intercom.net> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: PPROM at 32 weeks in twins >Date: Tue, 29 Aug 2006 07:12:42 -0500 > >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 >> Next message: Richard Chudaoff: "Re: OB: What would you do" Previous message: Andrew Folley: "Re: OB: What would you do" In reply to: Joe: "Re: PPROM at 32 weeks in twins" Next in thread: Garry E. Siegel, M.D.: "Re: PPROM at 32 weeks in twins" Reply: Garry E. Siegel, M.D.: "Re: PPROM at 32 weeks in twins"

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