Re: Difficult case

From: Andrew Folley (agfolley@hotmail.com)
Tue May 15 06:01:35 2007


You are all on the right track. Oligo most likely a sign of serious placental dysfunction leading to hypoperfusion of kidneys with oligo. Maternal Hb 9.3. No evidence of vasa previa or PPROM. Doppler studies of the baby show Middle Cerebral Artery S/D of 2.65 and the Umbilical Artery S/D of 2.93 When would you deliver her?

>From: johnprov@sympatico.ca (Dr. John Provatopoulos B.Sc. M.D.C.M.
>F.R.S.C.)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Difficult case
>Date: Tue, 15 May 2007 04:49:03 -0500
>
>At Tue, 15 May 2007, Raymond Stephen wrote:
> >
> >Where from?
> >
> >Steve
> >
> >________________________________
> >
> >________________________________
> >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> >
> >--
> >________________________________
> >AllanHo@aol.com
> >________________________________
> >Sent: Tuesday, 15 May 2007 2:17 PM
> >To: Multiple recipients of list OB-GYN-L
> >Subject: Re: Difficult case
> >
> >I am saying the baby could have bled.
> >
> >Allan
> >
> >CONFIDENTIALITY NOTICE AND DISCLAIMER
> >
> >other purpose.
> >
>
>marginal previa- aburption, rarer than gross vasa previa but can still
>have fetal bleeding. Highly unlikely baby should of become acutely ill
>if it was bleeding all day.
>
>--
> Take care, John

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