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Re: Severe PIH 34 weeks From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Thu May 24 09:31:21 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Severe PIH 34 weeks" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Severe PIH 34 weeks" In reply to: Andrew Folley: "Re: Severe PIH 34 weeks" Next in thread: Raymond Stephen: "Re: Severe PIH 34 weeks" Reply: Raymond Stephen: "Re: Severe PIH 34 weeks" I would call this severe gestational hypertension. I can only comment on this because it is the only case I know of mine that got reviewed that said I didn't meet the standard of care. She was 35+5 wks with similar BP, no proteinuria on dipstick and NO preeclamptic symptoms. I sent her home for a 24 hr collection (should have admitted her or delivered her) and the morning she was to come back to drop off the urine, she came into the ER seizing. She and baby did fine, but it was a clear miss on my part. >From all I can gather on severe gestational hypertension, it should be treated just like severe preeclampsia. Glen -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Thursday, May 24, 2007 3:03 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Severe PIH 34 weeks 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 > >_________________________________________________________________ >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_mig ratio >n_HM_mini_pcmag_0507 > ation_HM_mini_outlook_0507 Next message: Andrew Folley: "Re: Severe PIH 34 weeks" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Severe PIH 34 weeks" In reply to: Andrew Folley: "Re: Severe PIH 34 weeks" Next in thread: Raymond Stephen: "Re: Severe PIH 34 weeks" Reply: Raymond Stephen: "Re: Severe PIH 34 weeks"

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