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Re: Post dates pregnancyFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Sat Mar 31 11:18:53 2007
At Sat, 31 Mar 2007, Andrew Folley wrote: > >The no-brainer response is to deliver the patient. When the information is >studied however, we find that neither the mom nor the baby shows any sign of >being in trouble and thus no need for intervention at this time. A reactive >NST even with stimulation etc is very reliable as opposed to the soft >findings of "decreased fetal movement" . > It depends how long it took the nst to get reactive, if BPP is 6/8 because of decreased fluid what do you think will happen next week when she comes in in labor or you deciede to induce at 10 days post dates, your c-section rate may actually go up, and we all know about 1 in a few hundred will show up with a dead baby, if we could predict which one that would be it would be easy. A reactive NST is very liable for the time the baby was on the monitor and that's about it.
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Take care, John
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