Re: Severe PIH 34 weeks
From: Joanne Bulley, MD (islesannie@gmail.com)
Wed May 23 21:58:04 2007
Deliver. If Mag is started and BP is getting meds = need to deliver.
Course I am chiming it at 11 PM and others have probably alread said the
same!
Joanne
At Wed, 23 May 2007, Andrew Folley wrote:
>
>Totally Wierd. She in on labetalol 200 q 8 hrs and bp down to 140/100
>Starting on Mg today for prevention of seizure. If BP is controlled with
>labetalol would anyone opt for waiting two weeks to induce in light of
>expected RDS from amnio???
>
>>From: "R. Daniel Braun" <rd.braun@gmail.com>
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: Re: Severe PIH 34 weeks
>>Date: Wed, 23 May 2007 08:22:37 -0500
>>
>>34 week baby with pre-eclampsia weighs 8# and has an AFI of 20
>>?????????????????????????? That is wierdness.
>>
>>BP 170/110 = Medical emergency requiring immediate attention to lowering BP
>>to below blow out levels. Then give MgSO4 & deliver by most expeditious
>>route. Probably C/S
>>
>>Dan
>>
>>On 5/23/07, Andrew Folley <agfolley@hotmail.com> wrote:
>>>
>>>G1Po 33 weeks 6 days admitted with BP170/110. HELLP labs all normal
>>>200mg
>>>potein in 24 hour urine. Echo 7#15 oz baby vertex AFI 20 Doppler
>>>normal
>>>MCA and UA. Tracing reactive.
>>>
>>>Questions: Deliver or not deliver? How to treat BP? Mg yes or no and
>>>why? What other information needed? agf
>>>
>>>--
>>>R. Daniel Braun, MD FACOG(L) CMT
>>>Professor Emeritus
>>>Dept. of Obstetrics and Gynecology
>>>Indiana U. School of Medicine
>>>
>>>R. Daniel Braun
>>>
>>> "The way to health is an aromatic bath and scented massage
>>>everyday".
>>> Hippocrates
>
>_________________________________________________________________
>PC Magazine’s 2007 editors’ choice for best Web mail—award-winning Windows
>_________________________________________________________________
>
>--
>_________________________________________________________________
>Live Hotmail.
>_________________________________________________________________
>http://imagine-windowslive.com/hotmail/?locale=en-us&ocid=TXT_TAGHM_migration_HM_mini_pcmag_0507
>
--
Joanne Bulley, MD, FACOG
Solo gyn
Keene, NH USA
