Deliver now or later

From: Allan (4obgyn@gmail.com)
Sat Jun 27 15:41:56 2009

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33 yo G1 P0 presented @ 25 4/7 weeks EGA after a witness seizure at work. Brought in by ambulance and seized again in ER. BP 220/160. No significant past medical history. Husband did say she had headaches for one week and swelling for two weeks. Also was hit by a dodge ball on her forehead three days before presentation. She was last seen by her ob two weeks ago when it was uneventful. She had a negative CT of the head prior to being released from the ER to L&D. Baby's heart beat now in normal range. Cervix closed, firm, uneffaced. Cephalic presentation by ultrasound. MgSO4 given in ER, BP gradually responding to Hydralazine and Labetolol. No coagulation abnormalities. I am wondering how many of you folks will deliver her right away, or how many will give her steroids and wait? Thanks in advance for you input. 

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Allan


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<div>33 yo G1 P0 presented @ 25 4/7 weeks EGA after a witness seizure at work.  Brought in by ambulance and seized again in ER.  BP 220/160.  No significant past medical history.  Husband did say she had headaches for one week and swelling for two weeks.  Also was hit by a dodge ball on her forehead three days before presentation.  She was last seen by her ob two weeks ago when it was uneventful.  She had a negative CT of the head prior to being released from the ER to L&D.   Baby's heart beat now in normal range.  Cervix closed, firm, uneffaced.  Cephalic presentation by ultrasound.  MgSO4 given in ER, BP gradually responding to Hydralazine and Labetolol.  No coagulation abnormalities.  I am wondering how many of you folks will deliver her right away, or how many will give her steroids and wait?  Thanks in advance for you input.</div>


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<div>Allan</div>


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