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Re: Total Previa From: R. Daniel Braun (rd.braun@gmail.com) Mon Dec 29 06:37:51 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Total Previa" Previous message: R. Daniel Braun: "Re: Total Previa" In reply to: Dr Eberhard W Lisse: "Re: Total Previa" Next in thread: Dr Eberhard W Lisse: "Re: Total Previa" Reply: Dr Eberhard W Lisse: "Re: Total Previa" On Mon, Dec 29, 2008 at 1:06 AM, Dr Eberhard W Lisse <el@lisse.na> wrote: > Do repeated dosages of steroids work? Do they work after 34/40? Yes. After 34 weeks, they don't increases lung maturity much. However they do decrease the incidence of IVH. In fact today with the advances the neonatologists have made in treating HMD, they can do as well without steroids as with. The big thing steroids do (that neonatologists can't) is to prevent IVH Dan > > I also agree with wait and see. If she goes on, take it out at > 39/40. If she bleeds take it out. > > I really do not understand in the times of neonatal ICUs being able > to deal with 700g why one would want to do an amnio at 35/40. > > My approach in these cases is to phone the Pediatricians who will > attend the delivery and ask them what they want me to do :-)-O > > el > > On 29 Dec 2008, at 05:25 , Efrain Ramirez wrote: > > No..no bleeding -- partner wants to give another shot of steroids, do >> amnio at 35, if mature C/S - I favor no amnio and do elective C/S at >> 36-37, if there is another episode of bleeding then do C/S - I would not >> argue against another shot of steroids. >> >> Ef >> >> At Sun, 28 Dec 2008, DoctorJoe@aol.com wrote: >> >>> >>> In a message dated 12/28/08 7:49:53 PM, eramirezt@coqui.net writes: >>> >>> 20 some years old GI, total placenta previa with 4 episodes of bleeding >>>> - hospitalized at 28 weeks, corticosteroids given at that time, >>>> currently 34 2/7 weeks..next steps, when, why? >>>> >>>> Currently bleeding? >>> >>> I think we had this discussion recently, at least to some extent. >>> >>> Get her as far as you can and do an elective C-section with informed >>> consent >>> for a hyst, if necessary. (So it's very important to get a good baby this >>> time.) >>> >>> Joe P. >>> >>> icid=aolcom40vanity&ncid=emlcntaolcom00000025) >>> >> >> -- >> "I can accept failure, but I can't accept not trying." - Michael Jordan >> > -- > Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar) > el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell) > PO Box 8421 \ / Please send DNS/NA-NiC related e-mail > Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na > -- R. Daniel Braun, MD FACOG(L) ABMP CMTh 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 Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Total Previa" Previous message: R. Daniel Braun: "Re: Total Previa" In reply to: Dr Eberhard W Lisse: "Re: Total Previa" Next in thread: Dr Eberhard W Lisse: "Re: Total Previa" Reply: Dr Eberhard W Lisse: "Re: Total Previa"

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