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Re: G2P1 36 wks tomorrow B.P. 170 /110 From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Wed Sep 12 00:55:12 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: G2P1 36 wks tomorrow B.P. 170 /110" Previous message: D. Ashley Hill: "Re: G2P1 36 wks tomorrow B.P. 170 /110" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "G2P1 36 wks tomorrow B.P. 170 /110" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: G2P1 36 wks tomorrow B.P. 170 /110" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: G2P1 36 wks tomorrow B.P. 170 /110" First thing I would do is switch her from that Hydralazine to Methyldopa. Then decide whether her condition requires such an early induction. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. Sent: Wednesday, 12 September 2007 9:51 AM To: Multiple recipients of list OB-GYN-L Subject: G2P1 36 wks tomorrow B.P. 170 /110 This is a patient who has hypertension when not pregnant had been on metoprolol, I took care of her durring her first pregnancy and she is following a very similar pattern for her second pregancy. at her first prenatal visit at 10 wks her B.P. was 170/110; I have adjusted her B.P. meds on 3-4 occasions she is now on labetolol 200mg po QID and hydralazine 10 mg po QID for the last 4 weeks, serial U/S show good growth. She came in for her NST today, B.P. 170/110 and then 160/110 an hour latter 1+ Protienueria(has always been negative in the past). I induced her with her last pregnancy at 35 wks when she came in with a diasytolic of 120. I know what I am going to do, lets hear it gang. -- Take care, John 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. Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: G2P1 36 wks tomorrow B.P. 170 /110" Previous message: D. Ashley Hill: "Re: G2P1 36 wks tomorrow B.P. 170 /110" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "G2P1 36 wks tomorrow B.P. 170 /110" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: G2P1 36 wks tomorrow B.P. 170 /110" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: G2P1 36 wks tomorrow B.P. 170 /110"

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