Re: Difficult case
From: Andrew Folley (agfolley@hotmail.com)
Wed May 16 10:36:55 2007
Art
Not you it is me. Basically non reactive tracing.
>From: evsono@pipeline.com (art fougner, md)
>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: Wed, 16 May 2007 09:34:15 -0500
>
>I'm still unclear as to what "normal nonreactive" means. Are there
>accelerations, but less than 15 beats? Is normal baseline variability
>present? The terminology is unclear and imprecise. But that could be
>me. Incidentally, we've found the Dawes-Redmond software helpful for
>assessing fetal tracings as it provides an objective assessment of
>variability.
>
>Art
>
>At Wed, 16 May 2007, Andrew Folley wrote:
> >
> >Recommendation for delviery based on centralization of flow on doppler.
> >Normal "nonreactive" tracing for a 27 weeker.
> >
> >>From: evsono@pipeline.com (art fougner, md)
> >>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 07:20:34 -0500
> >>
> >>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????
> >> >
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> >>--
> >>art fougner, md
> >>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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