Re: low hgb

From: art fougner, md (evsono@pipeline.com)
Thu Aug 2 07:50:31 2007


John

sounds as if you would be in the market for a small, relatively inexpensive office unit.

Art

At Wed, 1 Aug 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>At Wed, 1 Aug 2007, R. Daniel Braun wrote:
>>
>>After all if you do 2 assessments 30 minutes apart, you will get a + or - of 15-20 % with the best sonographers
>
>Occasional with obese MOMs at 38 weeks and an unengaged presenting part
>if I am unsure of the lie I will send them off for an U/S and ask just
>for the lie, they insist on giving me an estimated fetal wieght and 4.2
>kg seems to be a popular result for obese Moms, well it could easily be
>3.8 or 4.6 at delievery. And 4.6 gets into the gray area of warning the
>MOM about shoulder dystocia etc. The term breach trial has turned an
>undiagnosed breach at term in labour into a minor emergency and
>generated a lot of useless U/Ss.
>
>--
> Take care, John
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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