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Re: What would you do From: Dr. NaseemAhmad (dr_naseemahmad@yahoo.com) Thu Nov 9 12:56:02 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman .: "Re: GYN: Doctors Prepare First Uterine Transplant" Previous message: art fougner, md: "GYN: Doctors Prepare First Uterine Transplant" In reply to: R. Daniel Braun: "Re: What would you do" Next in thread: R. Daniel Braun: "Re: What would you do" Reply: R. Daniel Braun: "Re: What would you do" During my training as Registrar I was taught exactly what Dan is suggesting but over the years having managed hundreds of such cases my belief is that majority of such cases happily end up having an uneventful normal delivery albeit close monitoring is mandatory. Hence my approach will be to induce no matter what time of night or day it is and dont hesitate to start an appropriate antibiotic Naseem Ahmad MD FRCOG At Thu, 9 Nov 2006, R. Daniel Braun wrote: > >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 > Next message: Dean Huffman .: "Re: GYN: Doctors Prepare First Uterine Transplant" Previous message: art fougner, md: "GYN: Doctors Prepare First Uterine Transplant" In reply to: R. Daniel Braun: "Re: What would you do" Next in thread: R. Daniel Braun: "Re: What would you do" Reply: R. Daniel Braun: "Re: What would you do"

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