Re: Fetal cooling with amni-infusion.

From: rmodugno@aol.com
Sat Sep 29 14:12:50 2007


John, your concern is noted! The mother was on triple anti-biotics. Her temp was 101.4F. The baby's heart rate "normalized" with the amnio-infusion and the baby had good Apgars. I would have given the mother an anti-pyretic to bring down the core temperature. My eyebrows were certainly raised when my partner told me about this manuver.

Robert Modugno MD MBA FACOG Sylva, NC

-----Original Message----- From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. <johnprov@sympatico.ca> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Sat, 29 Sep 2007 2:31 pm Subject: Re: Fetal cooling with amni-infusion.

At Sat, 29 Sep 2007, rmodugno@aol.com wrote: >
>My partner had a patient with chorio-amnionitis, febrile, maternal and
>fetal tachycardia.Was on triple antibiotics. Put in an amnio-infusion
>with room-temp saline and the fetal tachycardia resolved.
>
>Thought this was kind of an interesting approach to "fetal cooling".
>
>Comments?
>
>Robert Modugno MD MBA FACOG
>Sylva, NC

Fever is one of the most important, reproducible and usefull clinical signs why would I be stupid enough to try and mask it, if someone in labor gets a fever greater tham 38.5 I start broad spectrum antibiotics . Feal cooling, I am sure the neonatologists will be happy with an infected cool baby.

--
                                 Take care, John




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