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Re: Oligohydramnios From: ainsron (ainsron@sbcglobal.net) Tue Nov 6 18:38:39 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Gyn: Fibroids/ovarian abnormality" Previous message: Richard Kaplan: "Re: Oligohydramnios" In reply to: Richard Kaplan: "Re: Oligohydramnios" Next in thread: Richard Kaplan: "Re: Oligohydramnios" Personally, I wouldn't unless there was other signs of fetal compromise. If she is obese, how reliable is your assessment of pocket size? I would do weekly biophysical profiles, twice weekly Nests. 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 4:55 PM To: Multiple recipients of list OB-GYN-L Subject: 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: Garry E. Siegel, M.D.: "Re: Gyn: Fibroids/ovarian abnormality" Previous message: Richard Kaplan: "Re: Oligohydramnios" In reply to: Richard Kaplan: "Re: Oligohydramnios" Next in thread: Richard Kaplan: "Re: Oligohydramnios"

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