|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Another case from MalcolmFrom: Samir Saidi (sam@saidi.prestel.co.uk)Thu Jul 3 04:18:21 1997
Some points:
> 9) Three doses of PGE2 later - no real change in cervix, she's 1. Sounds like you may have to deliver her if she's at this stage - but what does 'increasingly unwell' mean? 2. What were the results of the following: -USS liver [I presume that if it's Saturday now, it was Friday when she came in - and your SHO has used all his persuasive powers with the ultrasonographers:) ] -B19 serology -Bilirubin in the urine? -IM screen (Glandular fever) The point being, if you can find an alternative cause (other than IHCP/AFLP then you might want to wait until Monday, when the NHS gets back to work) 3. Try Dilapan (hygroscopic cervical dilator). 4. How old is she? If she is low risk for DVT, and only having one pregnancy, no documented benefit in vaginal delivery vs. 'elective' CS? (Controversial?) Similar patient recently, but 35 weeks - itching like crazy, we were lucky & successful induction, but thickest meconium I've seen. Fetal assessments and CTG's all normal. Eagerly waiting the Roald-Dahl twist to the plot! Sam Saidi, University Hospital, Nottingham, UK
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:20:20 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.