Re: Ob: What would you do

From: Andrew Folley (agfolley@hotmail.com)
Thu Nov 9 06:20:45 2006


Depending on the size of her pelvic based on clinical exam I would induce. Discuss option of c-section if pelvis android and if presenting part high etc .

>From: garrys@mindspring.com (Garry E. Siegel, M.D.)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Ob: What would you do
>Date: Wed, 8 Nov 2006 19:56:22 -0600
>
>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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