Re: Ob: Preeclampsia

From: art fougner, md (evsono@pipeline.com)
Wed Mar 7 09:05:00 2007


Kudos!

Art

At Tue, 6 Mar 2007, Garry E. Siegel, M.D. wrote: >
>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
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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