Re: Ob: Preeclampsia

From: Andrew Folley (agfolley@hotmail.com)
Tue Mar 6 18:57:16 2007


What was your rational for recommending a c-section. As far as I know there was no obstetrical indication for it??? 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: Ob: Preeclampsia
>Date: Tue, 6 Mar 2007 19:21:54 -0600
>
>35w4d
>
>Vertex #1, Breech #2
>
>To L and D:
>
>Hematocrit, SGOT, platelets all fine. BP max 150/95, 2+ protein on
>hospital u/a.
>
>I posted to discuss HOW to deliver; to me, it was clear that she needed
>delivery (sorry, whoever suggested bedrest) at this gestational age and
>obvious mild pre-eclampsia. What would be gained by delaying delivery?
>
>I discussed C/S versus induction and recommended a C/S--done at later
>that day, and all is well.
>
>Garry
>
>At Tue, 6 Mar 2007, DoctorJoe@aol.com wrote:
> >
> >In a message dated 3/5/2007 9:16:17 P.M. Central Standard Time,
> >garrys@mindspring.com writes:
> >
> >24 YO P0000 at 35w4d, V/Br concordant twins.
> >
> >On a routine visit today, BP 150/95 times several, 4 pound weight gain,
> >1+ voided protein, DTR 2+, edema 2+, cervix 1.5/50/-2. Baseline BPs 100
> >to 110/60 to 70.
> >
> >What's next?
> >
> >Isn't 36 weeks "term" for twins? And isn't C/S the route of choice,
> >generally speaking, for twins? And isn't hypertension/proteinuria/edema
>... well, you
> >get the idea.
> >
> >Joe P.
> >
> >"Chuck Norris doesn't have proteinuria. His urine IS protein -- of high
> >quality with essential amino acids."
> >

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

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