Prior cesarean, SGA, need your help....
From: Geffrey H. Klein, MD (gklein@bcm.tmc.edu)
Wed Jul 30 20:47:43 1997
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Hi all..
New case
27 y/o G4P1A2 started prenatal care with this office at 31 wks gestation.
Prior doctor did ultrasound at 15 wks supporting due date of 8/16/97.
Patient has prior cesarean section with an LUT incision. Patient refusing
TOL. Ultrasound was ordered 7/14/97 due to size less than dates. EFW at
35 3/7wks by U/S was 1900g (~10%). Repeat U/S by me on 7/15/97 (I did not
have the report until later that day) was 2200g (greater than 10%) but head
was 35 wks and body was 33 wks. AFI was 20. At that point I decided to get
weekly NST's which have been reassuring.
I had her at the hospital today at 37 4/7 wks.
Strip was reactive. No contractions.
My plan was to tap and deliver if mature...
L/S was 1.2 and PG was 0.0.
Questions:
1) Should I have just sectioned her?
2) Now that I documented immature lungs, what should I do?
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Geffrey H. Klein, MD
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gklein@bcm.tmc.edu
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- Next message: Ronald R Helm: "Re: Prior cesarean, SGA, need your help...."
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- Maybe reply: Ronald R Helm: "Re: Prior cesarean, SGA, need your help...."
- Reply: R.Daniel Braun, MD FACOG: "Re: Prior cesarean, SGA, need your help...."
- Maybe reply: Roger Klam: "Re: Prior cesarean, SGA, need your help...."
- Maybe reply: Deborah Wage: "Re: Prior cesarean, SGA, need your help...."
- Maybe reply: Bernard Cristalli: "Re: Prior cesarean, SGA, need your help...."
- Maybe reply: Douglas L. Madsen: "Re: Prior cesarean, SGA, need your help...."
- Maybe reply: Jose C. Ferreira: "Re: Prior cesarean, SGA, need your help...."
- Maybe reply: Laifer, Dr. Steven: "Re: Prior cesarean, SGA, need your help...."
- Maybe reply: DoctorJoe@aol.com: "Re: Prior cesarean, SGA, need your help...."
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