Re: Severe PIH 34 weeks
From: Andrew Folley (agfolley@hotmail.com)
Thu May 24 08:59:01 2007
Sorry Ron to respectfully disagree. She does not have preeclampsia. I would
appreciate support from others. Steve has agree and I think Garry also.
This is PIH NOT preeclampsia. She probably will develop it in the next two
weeks but at this point in time by all definitions it is NOT preeclampsia.
>From: "ainsron" <ainsron@sbcglobal.net>
>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 19:39:25 -0500
>
>At 34 weeks you're not going to give her steroids, what is the point in
>delivering? by definition she has severe pre-eclampsia.
>
>Ronald E. Ainsworth, MD, FACOG
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew
>Folley
>Sent: Wednesday, May 23, 2007 6:48 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Severe PIH 34 weeks
>
>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
>
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