Re: What would you do

From: R. Daniel Braun (rd.braun@gmail.com)
Thu Nov 9 06:54:42 2006


P0G1 at term, EFW 10# (almost, only 102 Gm shy), unengaged head, Un ripe cervix, with SROM. What is the question????? Section her NOW!!!!!!!!!!!!!!!!!!!!!!!

Dan

On 11/8/06, Jane Peterson <ApricotRex@comcast.net> wrote: >
> 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
>

--
R. Daniel Braun

"The way to health is an aromatic bath and scented massage everyday". Hippocrates





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