Re: Prior cesarean, SGA, need your help....

From: Geffrey H. Klein, MD (gklein@bcm.tmc.edu)
Wed Jul 30 21:46:09 1997


>Do you have documentation on that 15 week US ?

She only had a videotape. I looked at it and it was 15 wks. No written report.

> Do you have a diabetes
>screen on her?

Yes.. negative..

>Also your last US was 2 weeks ago. Has the baby grown any?

I am going to scan her next week..

>You may have a poor first US and just a small baby or you could have
>IUGR (borderline).

right.. I think my scan was pretty accurate..

> If she's not diabetic, I would section her next week
>or in 4 days if her AFI drops to less than 10 or her NST becomes non
>reactive. Or even sooner if she sneezes.

AFI today was 17. Very easy tap. I plan to see her twice next week and play it by ear.. looking for a reason to deliver.

>Let us hear the outcome.

you know I will....

---------------------------------- Geffrey H. Klein, MD ---------------------------------- gklein@bcm.tmc.edu

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