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Re: Prior cesarean, SGA, need your help.... From: Bernard Cristalli (bcrist@club-internet.fr) Thu Jul 31 00:30:13 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Douglas L. Madsen: "Re: Lupus anticoagulant and pregnancy" Previous message: Geffrey H. Klein, MD: "Re: Prior cesarean, SGA, need your help.... (off the subject..)" Maybe in reply to: Geffrey H. Klein, MD: "Prior cesarean, SGA, need your help...." Next in thread: Douglas L. Madsen: "Re: Prior cesarean, SGA, need your help...." Geffrey H. Klein, MD wrote: > > 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. > > > 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? > -- Wait till lung maturity with: 1) corticosteroids 2) fetal growth surveillance (the assymetric IUGR is a sign of beginning) 3) No systematic C-section if an induction is reasonable -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Douglas L. Madsen: "Re: Lupus anticoagulant and pregnancy" Previous message: Geffrey H. Klein, MD: "Re: Prior cesarean, SGA, need your help.... (off the subject..)" Maybe in reply to: Geffrey H. Klein, MD: "Prior cesarean, SGA, need your help...." Next in thread: Douglas L. Madsen: "Re: Prior cesarean, SGA, need your help...."

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