Re: active tracing with decell
From: R. Daniel Braun (rd.braun@gmail.com)
Wed Dec 19 13:32:03 2007
IOW, continuous monitoring for a short time is what you are advocating.
I concur with that except that it should happen in an area with a rapid 15
min or less decision to del time and continue until delivery is chosen. If
you don't do that, you shouldn't do anything. IMHO
Dan
On Dec 19, 2007 3:12 PM, art fougner, md <evsono@pipeline.com> wrote:
> Dan
>
> It ain't science but it has pushed some off the fence.
>
> Art
>
> At Wed, 19 Dec 2007, R. Daniel Braun wrote:
> >
> >Please explain why a CST would be helpful?
> >
> >On Dec 19, 2007 12:34 PM, art fougner, md <evsono@pipeline.com> wrote:
> >
> >> This may be one of the few situations in which a CST may be helpful ...
> >> Or simply continue monitoring for a few hrs. If repetitive variable
> >> decelerations are noted, cord compression must be suspected and
> delivery
> >> would seem appropriate - even at 34 wks.
> >>
> >> Art
> >>
> >> At Wed, 19 Dec 2007, Efrain Ramirez wrote:
> >> >
> >> >Spontaneous deceleration with good AF - cord accident - I would not
> >> >deliver - do prolonged NST - maybe CST..think steroids - ..
> >> >
> >> >Ef
> >> >
> >> >>NSTAt 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 can accept failure, but I can't accept not trying." - Michael
> Jordan
> >> >
> >>
> >> --
> >> art fougner, md
> >> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
> >>
> >--
> >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
> >
>
> --
> art fougner, md
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
--
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
