Re: Chronic Hypertension

From: Andrew Folley (agfolley@hotmail.com)
Sun Dec 30 16:58:01 2007


I will check on Redmans papers. My review in Cochrane Data base suggests no benefit to treating HTN in pregnancy unless severe. agf

Date: Fri, 28 Dec 2007 17:07:11 -0600From: Stephen.Raymond@dhhs.tas.gov.auTo: ob-gyn-l@dns.obgyn.netSubject: RE: Chronic Hypertension

I would refer you to Alan Redman’s papers on Aldomet in pregnancy and the other papers that Efrain quoted yesterday. There is an improvement in outcomes when pre-existing hypertension is treated.

Steve

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew FolleySent: Saturday, 29 December 2007 5:17 AMTo: Multiple recipients of list OB-GYN-LSubject: RE: Chronic Hypertension

Why would you treat the BP at alll unless she has severe PIH with BP /160/110???? What good are you trying to achieve by treating??? What bad events are you trying to prevent?

Date: Thu, 27 Dec 2007 16:40:36 -0600From: Stephen.Raymond@dhhs.tas.gov.auTo: ob-gyn-l@dns.obgyn.netSubject: RE: Chronic Hypertension

Aldomet 250mg b.d. is a homeopathic dose. I would put it up to 500mg t.d.s., or switch to Labetalol 100 mg t.d.s. now.

Steve

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of GIN11153@aol.comSent: Saturday, 22 December 2007 5:29 PMTo: Multiple recipients of list OB-GYN-LSubject: re: Chronic Hypertension

Here in So. Calif. the doctors I have worked with have switched someone like this to Labeletol when Aldomet doesn't lower her BP adequately.

Also, isn't an SGOT of 34 the beginning of a good reason to induce now if her BP is 140/90 without labor and she's term with a soft, dilating and effacing cervix? I guess I've seen too many hypertensives go sour fast in my 34 years of working in L&D/OB.

Gail

CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose.

Share life as it happens with the new Windows Live. Share now!

CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. _________________________________________________________________ i=92m is proud to present Cause Effect, a series about real people making a= _________________________________________________________________ difference. http://im.live.com/Messenger/IM/MTV/?source=text_Cause_Effect





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L 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: Wed Jul 2 04:48:21 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.