-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: Oligohydramnios From: Richard Kaplan (rkaplan@triad.rr.com) Tue Nov 6 17:53:47 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Oligohydramnios" Previous message: ainsron: "Re: Oligohydramnios" Maybe in reply to: Richard Kaplan: "Oligohydramnios" Next in thread: ainsron: "Re: Oligohydramnios" Reply: ainsron: "Re: Oligohydramnios" Ron, We have talked about this. She is obese and there is some concern about being able to find a pocket. I believe that this should have been done as soon as the question was raised about ROM last week. She has no fever, leukocytosis, or tachycardia. If we did rule out ROM, would anyone induce her at 34 weeks for unexplained, persistent oligo? -- Richard Kaplan, M.D. >----- Original Message ----- From: "ainsron" <ainsron@sbcglobal.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Tuesday, November 06, 2007 7:37 PM Subject: Re: Oligohydramnios > If he really believes she has undiagnosed PROM, why doesn't he recommend > amnio - check maturity and also place indigo carmine dye to definitely > diagnose ROM? Any elevation of WBC or fever? Any tachycardia? > > Ronald E. Ainsworth, MD, FACOG > > -----Original Message----- > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard > Kaplan > Sent: Tuesday, November 06, 2007 4:03 PM > To: Multiple recipients of list OB-GYN-L > Subject: Oligohydramnios > > 22 y.o. black female at 32-33 weeks has AFI(Aminiotic Fluid Index) of > 2.5 on office ultrasound. Fetal growth at 50%ile, biophysical profile 6/8 > (decreased amniotic fluid), NST reactive. Admitted for course of > steroids, > IV hydration, and continuous fetal monitoring. MFM(Maternal Fetal > Medicine) > > consultent repeats ultrasound after 48 hours and finds AFI of 5. He > opines > that there is occult PPROM (Preterm Premature Rupture of Membranes) and > suggests antibiotics and delivery at 34 weeks. Pt. is scheduled for > induction tomorrow (34 weeks). NST and BPP still normal, AFI stable at 5, > and no evidence of ROM (other than decreased AFI). > Is she being over treated? > > Richard Kaplan, MD > Next message: ainsron: "Re: Oligohydramnios" Previous message: ainsron: "Re: Oligohydramnios" Maybe in reply to: Richard Kaplan: "Oligohydramnios" Next in thread: ainsron: "Re: Oligohydramnios" Reply: ainsron: "Re: Oligohydramnios"

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: Sat Aug 2 04:54:04 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.