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Re: Care of pregnancy in a patient who has had a Whipples procedure. From: Andrew Folley (agfolley@hotmail.com) Sun Jan 13 21:09:21 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: sanjay: "Infertility center training" Previous message: sanjay: "Infertility center setup" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Care of pregnancy in a patient who has had a Whipples procedure." Next in thread: Raymond Stephen: "Re: Care of pregnancy in a patient who has had a Whipples procedure." Reply: Raymond Stephen: "Re: Care of pregnancy in a patient who has had a Whipples procedure." Reply: Raymond Stephen: "Synarel" 1. Do not need to do biophysical profiles weeksy. NST biweekly and afi with the NST is sufficient (equivocal to biophysical profile) 2. Deliver at 39 weeks if euglycemic 3. Vaginal birth unless obstetrical complications or 4. CS if weight >4500 grams at 37-38 weeks? 4. Watch serial growth with US for growth q 3 weeks 5. HbA1C > Date: Sun, 13 Jan 2008 05:46:12 -0600> From: johnprov@sympatico.ca> To: ob-gyn-l@dns.obgyn.net> Subject: Care of pregnancy in a patient who has had a Whipples procedure.> > 31 y.o. G1 who had a Whipple’s procedure at age of 26 for what turned> out to be a benign neuroendocrine tumor. She has done remarkably well> after her surgery and has essentially lead a normal life with no special> modifications in diet, life style or need of meds. I sent her off for> her glucose tolerance rest after her second visit at 19 weeks and the 1> hr value was 14.7(14.7 X18 &4.6) (for those who still live with the> old units), with that value I sent her off to our local Endocrinologists> for start of insulin and any other recommendations. Now at 26 wks and> started fetal surveillance with biweekly NST weekly biophysical> profiles, dopplers of umbilical vessels normal and normal Middle> cerebral flow. Besides taking all the precautions for gestational> diabetic requiring insulin, does anyone have any other suggestions?> > --> Take care, John PC_MediaCtr_bigscreen_012008 Next message: sanjay: "Infertility center training" Previous message: sanjay: "Infertility center setup" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Care of pregnancy in a patient who has had a Whipples procedure." Next in thread: Raymond Stephen: "Re: Care of pregnancy in a patient who has had a Whipples procedure." Reply: Raymond Stephen: "Re: Care of pregnancy in a patient who has had a Whipples procedure." Reply: Raymond Stephen: "Synarel"

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