-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Fetal cooling with amni-infusion. From: R. Daniel Braun (rd.braun@gmail.com) Sat Sep 29 15:08:32 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Daniel Tsin: "Re: Transvaginal" Previous message: rmodugno@aol.com: "Re: Fetal cooling with amni-infusion." In reply to: rmodugno@aol.com: "Re: Fetal cooling with amni-infusion." Next in thread: Andrew Folley: "Re: Fetal cooling with amni-infusion." For the record, there have been multiple studies done showing that in the usual circumstances; i.e. No fever: there is no difference in fetal temperature whether you use room temperature or warmed Saline. Wenstrom et al OB-G 1995; 86:572 in a survey found that 1.1 % of 22,000 amnioinfusions were done for Chorioamnionitis. 78% were done with warmed salin & 22% with room temp. saline Glantz & Letteny OB-G 1996; 87: 150 found no significant difference in outcomes with warmed or room temp. This was a metanalysis of 14 studies with at least 40 subjects in each study. The above were gleaned from my last PowerPoint presentation on amnioinfusion for our G.R. in 1999. Dan On 9/29/07, rmodugno@aol.com <rmodugno@aol.com> wrote: > > 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 > > >________________________________________________________________________ > > >________________________________________________________________________ > >Email and AIM finally together. You've gotta check out free AOL Mail! - > > >________________________________________________________________________ > > >________________________________________________________________________ > >http://mail.aol.com > > 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 > > ! > -- R. Daniel Braun, MD FACOG(L) CMT Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine R. Daniel Braun "Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941 Next message: Daniel Tsin: "Re: Transvaginal" Previous message: rmodugno@aol.com: "Re: Fetal cooling with amni-infusion." In reply to: rmodugno@aol.com: "Re: Fetal cooling with amni-infusion." Next in thread: Andrew Folley: "Re: Fetal cooling with amni-infusion."

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: Mon May 19 19:09:04 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.