Re: 23 weeks prom
From: Andrew Folley (agfolley@hotmail.com)
Mon Feb 19 07:29:37 2007
Garry
How long would you give IV ampicillin. Are you giving emycin po or IV?
Would you stop antibiotics or continue indefinitely on oral? agf
>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: Re: 23 weeks prom
>Date: Sun, 18 Feb 2007 20:10:44 -0600
>
>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
> >> >>
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>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
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