Re: BPP 2 and reassuring tracing

From: Andrew Folley (agfolley@hotmail.com)
Thu Apr 23 19:36:17 2009


Sounds like respiratory acidosis. Depends on the base excess level and PCO2 . Sudden change in tracing and emergency c-section with good apgars and low pH suggest respiratory acidosis???

> Date: Wed, 22 Apr 2009 20:59:48 -0500
> From: rmodugno@aol.com
> To: ob-gyn-l@mail.obgyn.net
> Subject: Re: BPP 2 and reassuring tracing
>
> -----Original Message-----
> From: Glen Elrod <dr99645@yahoo.com>
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> Sent: Wed, 22 Apr 2009 2:26 pm
> Subject: Re: BPP 2 and reassuring tracing
>
> -----Original Message-----
> From: Glen Elrod <dr99645@yahoo.com>
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> Sent: Wed, 22 Apr 2009 2:26 pm
> Subject: Re: BPP 2 and reassuring tracing
>
> I had this exact scenario with a labor nurse pt not too long ago. Only
> points were for AFI. Sent to L&D and tracing was reactive on admission
> (hadn't been in the office). Pt had labor stimulated (didn't
> necessarily want pit so we used the breast pumps) and she managed to
> progress to 8cm before all hell broke loose on the strip and then at
> section Apgars were 8/9. Cord ph was 7.2. Go figure.
>
> Glen
>
> *********************************************
> Hey Glen=2C three questions:
>=20

> 1) what category is "all hell broke loose" ? 2) What was the patient's
> objection to pitocin? and 3) how would you control hyperstimulation
> secondary to a breast pump?
>
> Robert Modugno MD MBA FACOG
> Sylva, NC
>

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