Re: Mg for all???

From: Joanne Bulley, MD (islesannie@gmail.com)
Fri May 18 21:09:39 2007


Back in my day - I really did think about each person diagnosed with PIH / mild pre-eclampsia. There was that thought "if it is worth naming that diagnosis - then you should plan on using the Mag" - we didn't run mag on all - but I had a really short fuse for starting it - and some of that was the gestalt.

This brings up another pet peeve I had of some colleagues when I was still in OB (and picking up someone else's pieces in the AM) - I have seen some folks - or mostly heard from the L&D nurses chatting - about the inductions that go on & on - or are given rather half hearted attempts. My comment was that if they need an induction - then they need delivering - and if they don't really need delivering, then they probably don't need the induction. If they just need a contraction stress test - then call it that - but if they need delivering - then there needs to be a plan in place that gets them delivered.

Just my pet peeves and past experiences!

Joanne

At Fri, 18 May 2007, Andrew Folley wrote: >
>I have to go back to my original question. The literature or at least the
>article than Ron shared suggests that we should be treating all
>preeclamptics and all sever PIH with Mg for seizure prophylaxis. I have
>not been this aggressive and doubt if any of us have been. Should we be more
>liberal in our using more Mg prophylaxis??
>

--
Joanne Bulley, MD, FACOG
Solo gyn
Keene, NH USA




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