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Re: What would you doFrom: Jane Peterson (ApricotRex@comcast.net)Wed Nov 8 19:06:07 2006
Send her home with the usual prohibitions. Plan an induction for 18 hours post SROM if she doesn't arrive in labor before then. (Caveat: I wouldn't have VE'd her until she was having contractions or we were starting an induction) -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Wednesday, November 08, 2006 5:57 PM To: Multiple recipients of list OB-GYN-L Subject: Ob: What would you do 26 YO P0 at 39w4d, good dates, prsents with SROM for 4 hours, clear fluid, rare contractions. Due to a suspected fetal arrythmia, she had a Maternal-Fetal Scan 9 days ago. EFW 4438g, AFI 29. Her diabetes screen had been normal. The cardiac anatomy was normal and heart tones were regular with no evidence of any abnormality. The fundal height today was 43 cm., clinical EFW 4500g+. She had gross ROM, clear fluid, 1.5/25/posterior/-3/vertex. She is GBS negative. What's next? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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