Re: 23 weeks prom
From: art fougner, md (evsono@pipeline.com)
Mon Feb 19 07:32:33 2007
Andrew
What are your friendly local MFM's recommending? Just curious.
Art
At Sun, 18 Feb 2007, Garry E. Siegel, M.D. wrote:
>
>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
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
