Re: Ob: Advanced dilatation/footling

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Wed Feb 28 05:27:40 2007


Joe and Dan:

140-ish/85 to 90-ish from the first visit.

If it is not chronic, what is it? The BP started this ball rolling, but the real issue is when to do the section.

I posted this to "test the waters" about how urgent listers felt the section was--ranging from John, who is ready to admit her, to Joe and Dan, who did not specify as of yet.

Let me add more. It is 5 PM when I am seeing her, and her husband is in Houston, TX.

What's next?

Garry

At Wed, 28 Feb 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>At Tue, 27 Feb 2007, Garry E. Siegel, M.D. wrote:
>>
>>26 YO P0000 at 36w4d, good dates.
>>
>>Today, had BP 145/90--reviewing prenatals, probably is a chronic
>>hypertensive, never diagnosed, as opposed to PIH. Due to BP, I
>>contemplated lab/BPP/bedrest/admission?/deivery, so I checked her
>>cervix.
>>
>>No PIH symptoms, edema 2+, no proteinuria or excessive gain (she is
>>250#, give or take).
>>
>>She as 4/100%/bulging bag/footling.
>>
>>BPP 8/8, AFI 28.
>>
>>What's next?
>>
>>Garry
>>
>>--
>>Garry E. Siegel, M.D.
>>Private Practice
>>Roswell, GA
>>
>She is term in three days, book the section. It never ceases to amaze
>me how many mom's with footling breachs or transvers lies have not be
>told to go to the hospital right away if thier membranes rupture.
>
>--
> Take care, John
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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