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Re: Ob: What would you do From: Andrew Folley (agfolley@hotmail.com) Thu Nov 9 06:25:12 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: What would you do" Previous message: Bernard Cristalli: "Re: vag exams with SROM and no labor" In reply to: Garry E. Siegel, M.D.: "Ob: What would you do" You really need to give her the option of a primary c-section right off the bat in light of the -3 station and the LGA infant in light of the extremely high probablility that she is going to end up with a shoulder dystocia and high potential for permanent injury to this baby. >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 Next message: R. Daniel Braun: "Re: What would you do" Previous message: Bernard Cristalli: "Re: vag exams with SROM and no labor" In reply to: Garry E. Siegel, M.D.: "Ob: What would you do"

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