Re: Deliver now or later
From: Efrain Ramirez (eramirezt@coqui.net)
Sat Jun 27 17:17:29 2009
Any more labs?
Ef
At Sat, 27 Jun 2009, Allan wrote:
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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>
>
><div> </div>
><div>Allan</div>
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--
"Life is what happens to you while you're busy making other plans."- John Lennon
