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Re: OB-GYN-L digest 306 From: Robbrenner@aol.com Thu Oct 26 17:05:27 1995 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: PhilR7@aol.com: "2nd stage pushing" Previous message: John G. M. Robertson MD: "Re: your mail" In a message dated 95-10-24 13:19:57 EDT: >Date: Tue, 24 Oct 1995 12:44:02 -0400 >From: DRDKG@aol.com >Subject: Re: Gestations*2 > >Protocols for twin gestations are as numerous as the number of practitioners >who care for them. This is my opinion of the minimum necessary: Ultrasound >at diagnosis and again at 28-32 weeks to rule out growth restriction. Twice >weekly NST and AFI starting at 38-40 weeks gestation. Extra folate (at least >1 mg) and Fe (at least 325 mg BID or TID as tolerated). Cervical checks >without indication may be associated with an increased risk of premature ROM >and chorioamnionitis, so I do not recommend them unless signs of preterm >labor are present. I am not aware that pelvic examinations increase the risk of PROM and chorioamnionitis in twins. One could argue that pelvic exams might help prevent preterm delivery by early diagnosis of asymtomatic cervical dilatation (evidence based medicine not withstanding). Robert Brenner MD Baltimore Md. Robbrenner@aol.com Next message: PhilR7@aol.com: "2nd stage pushing" Previous message: John G. M. Robertson MD: "Re: your mail"

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