Re: 23 weeks prom
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sun Feb 18 19:09:32 2007
Let's assume good dates. . .
You really could argue for making no intervention and sending home until
24w0d, but that seems so close.
If she were 24w0d, she would get steroids, and IV Ampi/Erythromycin to
prolong latency, and go a GBS culture first.
I agree that there likely is no "right" answer here; I would discuss at
length, and probably lean towards antibiotics now, and steroids starting
at 24w0d. I would also lobby for no C/S under 24w0d.
Let us know what you do and how it goes.
Garry
At Sun, 18 Feb 2007, Andrew Folley wrote:
>
>G1P0 23 wk 1 day prom Would you give antibiotics? Which one(s) IV or PO
>and how long 3, 5, 7 days etc. Keep in hospital how long?? 72 hrs 1
>week, 2 weeks?? Until 34 weeks? Give steroids now or wait till 24 weeks?
>I do not think there is any "right" evidence based answers on this. Just
>looking to get a feel for what we are all doing. andy
>
>>From: eramirezt@coqui.net (Efrain Ramirez)
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: Re: mirena and irregular bleeding
>>Date: Sun, 18 Feb 2007 00:34:28 -0600
>>
>>Oc's, Ponstel, do Gc/Chlamydia cultures.. can use as, Andy says,
>>Premarin..but I prefer Oc's
>>
>>Ef
>>
>>At Sat, 17 Feb 2007, Andrew Folley wrote:
>> >
>> >possibly atrophic, consider 6 weeks of unopposed estrogen (ie premarin
>> >0.625) see if the spotting stops. agf
>> >
>> >>From: "Elrod, Darryl G Maj 48 MDOS/SGOBO"
>><Darryl.elrod@LAKENHEATH.AF.MIL>
>> >>Reply-To: ob-gyn-l@obgyn.net
>> >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>> >>Subject: mirena and irregular bleeding
>> >>Date: Sat, 17 Feb 2007 09:30:02 -0600
>> >>
>> >>Anyone have any suggestions for persistent spotting 6 months after
>> >>Mirena insertion?
>> >>
>> >>Thanks
>> >>
>> >>Glen
>> >>
>> >>//SIGNED//
>> >>
>> >>D. Glen Elrod, Maj., USAF, MC
>> >>
>> >>Obstetrician/Gynecologist
>> >>
>> >>Chief of Obstetrics
>> >>
>> >>48 MDOS/SGOBO
>> >>
>> >>RAF Lakenheath, England
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Garry E. Siegel, M.D.
Private Practice
Roswell, GA
