Re: Difficult case

From: art fougner, md (evsono@pipeline.com)
Tue May 15 07:30:58 2007


You've described a doppler trace demonstrating compensatory head sparing. What did the IVC or Ductus Arteriosus Doppler trace show?

Art

At Tue, 15 May 2007, Andrew Folley wrote: >
>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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--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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