Re: BPP 2 and reassuring tracing

From: art fougner, md (evsono@pipeline.com)
Wed Apr 22 14:00:18 2009


IMHO ... Manning and Platt's biophysical profile included an NST. I personally would not accept a Biophysical profile without an NST.

Art

At Wed, 22 Apr 2009, Andrew Folley wrote: >
>Same patient as John described. Primip at term in latent phase of labor. BPP is 2 out of 8 in the office. ie no tone, movement and no respirations but a 2 for AFI of 7. This is hypothetical situation.
>
>Date: Wed, 22 Apr 2009 12:10:29 -0500
>From: DoctorJoe@aol.com
>To: ob-gyn-l@mail.obgyn.net
>Subject: Re: BPP 2 and reassuring tracing
>
>In a message dated 4/22/09 11:59:18 AM, agfolley@hotmail.com writes:
>
>Let me turn the tables and pose this question: Same patient of Johns sent over from office
>with decreased fetal movement and BPP of 2. Does she get immediatec-section? What if she is put on monitor awaiting the c-section and the tracing is "reactive" ie category I?
>what do you do??
>
>Doesn't a reactive strip give her a higher BPP? And is this reactive in the face of some contractions or not?
>
>I'd still be awfully worried about the decreased fluid and decreased (perception of) fetal movement.
>
>However, you've left off an important datum: gestational age.
>
>Joe P.
>
>adio Toolbar! (http://toolbar.aol.com/aolradio/download.html?ncid=emlcntusdown00000003)

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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