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Re: Difficult case From: art fougner, md (evsono@pipeline.com) Tue May 15 07:18:38 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: opinions, please" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Difficult case" In reply to: Andrew Folley: "Re: Difficult case" Next in thread: Andrew Folley: "Re: Difficult case" Reply: Andrew Folley: "Re: Difficult case" What was your consultant's rationale? And please define "normal nonreactive." Art At Mon, 14 May 2007, Andrew Folley wrote: > >26 yo WF G3P2 at 26 weeks presents to triage last friday evening with >bleeding. No prenatal care. This is her third pregnancy with 8 pound baby >delivered vaginally 6 years ago and 5 pound baby delivered at 36 weeks >c-section for breech 15 months ago. Ultrasound on admission shows low lying >placenta possible marginal previa and some possibility of abruption. US also >reveals oligohydramnios with AFI 3 cm. Ultrasound plots the infant at 27 >weeks 5 days. Weight is 2 poiunds, vertex and 47% for growth; no anomalies >seen. She receives steroids Friday and Saturday. FHTs are 140s and >"normal non reactive for 26 weeker" no variables seen. Patient remains >stable Sunday and today bleeding about one pad per day and no pain or >contractions. Continuous EFM show no changes in tracing. MFM consultant >recommends she be delivered soon ie next 24 hours by C-section. Why???? > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: art fougner, md: "Re: opinions, please" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Difficult case" In reply to: Andrew Folley: "Re: Difficult case" Next in thread: Andrew Folley: "Re: Difficult case" Reply: Andrew Folley: "Re: Difficult case"

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