Re: Severe PIH 34 weeks
From: Andrew Folley (agfolley@hotmail.com)
Thu May 24 08:20:10 2007
Steve has signed in and is another lone voice against the "voices of
experience".
she has a history of elevated blood pressures before 20 weeks 130/90 etc. no
medications.
>From: "Raymond Stephen" <stephen.raymond@dhhs.tas.gov.au>
>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 18:28:21 -0500
>
>What was her BP at first visit?
>
>How old is she?
>
>Without abnormality of bloods or urine how can you call this
>pre-eclampsia?
>
>Seems likely that she has essential hypertension.
>
>Give her Labetalol until the BP is controlled and watch for end-organ
>changes including placental function.
>
>Deliver when something is wrong, which it isn't yet.
>
>Steve
>
>________________________________
>
>________________________________
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R.
>Daniel Braun
>Sent: Wednesday, 23 May 2007 11:27 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Severe PIH 34 weeks
>
>If the BP is that high in a patient at 34 weeks, why do you have a 24
>hour urine? Should have been delivered in less than 24 hours. IMHO
>
>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
>
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