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Re: active tracing with decellFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue Dec 18 16:49:40 2007
At Tue, 18 Dec 2007, Andrew Folley wrote: > >Need Input from group > >34 weeks G1P0 NST done for GDMa2 on glyburide and euglcyemic. NST reactiv but during course of the test , spontaneous acute decell occurs to 90 bbm lasting 3 minutes with acute return to baseline. Continued observation on onitor and decell occurs again lasting 2 minutes down to 90. I scanned pt and afi 12 baby with good tone movement etc. What to do now and how to fo low? other tests? etc thanks agf> I would just repeat NST in 48 hrs, if she was 37 wks with favorable cervix I would probably induce. Most likely nucal cord or baby grabing on to cord. Why induce at all, there is always the possiblity of a true knot forming or nuchal cord that you can't see on U/S, if the baby is still born with a nucual cord there is that nice record of the cord compression. Thank goodness you have a good indication for the NST.
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Take care, John
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