|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Severe PIH 34 weeksFrom: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)Thu May 24 17:46:40 2007
Pre-existing, or essential, hypertension can lead to pre-eclampsia, so the time of the onset of the pre-eclampsia needs to be watched for. If there is no proteinuria on dipstick then there is no point in doing a 24-hour urine. What is required is estimation of renal and liver function tests on blood. Until there is some abnormality (I like using uric acid as my monitoring parameter) there is no problem. Once there is a rise in any of those parameters then it is time to deliver/give Mag Sulph. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod, Darryl G Maj 48 MDOS/SGOBO Sent: Friday, 25 May 2007 12:34 AM To: Multiple recipients of list OB-GYN-L Subject: 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 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. CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose.
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Thu Oct 2 04:56:37 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.