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Re: PREGNANCY: PIH, IUGR & Steroids
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Mon, 24 Mar 2008 22:06:30 -0500 (CDT)
Ashleigh
Take the steroids!!!Dr. von Almen
At Mon, 24 Mar 2008, Ashleigh wrote:
>
>Today my OB wanted me to start steroids to help my baby's lungs develop
>(I'm @ 31.5 wks). I agreed without doing any research (figured the docs
>know much better than I do). Does anyone have any information on the
>steroids or know of websites with reliable information on them? I assume
>that she would not have suggested it if the benefits didn't outweigh the
>risks but I'd just like to be informed. The steroid is
>betametha-something.
>
>At Wed, 19 Mar 2008, Ashleigh wrote:
>>
>>Thank you for your input. I went in today b/c the baby wasn't moving as
>>much as usual ... the NST was nonreactive so they sent me for a BPP
>>that he passed in 10 minutes. She indicated that the blood flow to the
>>placenta has improved since Monday. I am SO excited to hear that news.
>>The baby hasn't grown in two weeks but my hope is that with increased
>>blood flow to the placenta he will begin to grow again. I am supposed
>>to go back for another NST on Monday ... it seems so long to go from
>>Wednesday to Monday without the reassurance of hearing his heart on the
>>monitors!
>>
>>Thank you again for your help!
>>
>>At Wed, 19 Mar 2008, William F. von Almen, II, MD, FACOG wrote:
>>>
>>>Ashleigh
>>>
>>>Sounds like the docs are monitoring you well. It is a fine line to walk
>>>between delivering prematurely and risking the baby's health. Close
>>>monitoring is the halmark and frequent visits provide that as do
>>>frequent monitoring and ultrasounds.
>>>As far as baby health at this stage, that is better asked of the
>>>neonatologist. We do know that often the stress of PIH will lead to
>>>advanced maturity of the baby...Dr. von Almen
>>>
>>>At Tue, 18 Mar 2008, Ashleigh wrote:
>>>>
>>>>I've been diagnosed with pregnancy induced hypertension and
>>>>intrauternine growth restriction. My baby dropped from the 19th
>>>>percentile 2 weeks ago to less than the 3rd percentile this week. We're
>>>>obviously very concerned about this as it appears he hasn't grown at all
>>>>in two weeks.
>>>>
>>>>I just would like a second opinion (though I know that it is very
>>>>dependent on my individual case so the doctors here may not be able to
>>>>give an opinion).
>>>>
>>>>My doctors want to wait as long as possible to deliver him so that his
>>>>organs can develop. But I'm terrified that if he's not growing that he
>>>>will die inside of me. Is it more dangerous to leave him inside or take
>>>>him early? I am at 30 weeks 3 days today. He weighs approximately 2 lb
>>>>3 oz.
>>>>
>>>>Also, what kind of problems will he likely face after birth? I didn't
>>>>ask yesterday at the hospital and I don't go back until Thursday and
>>>>would like to be prepared for whatever news I get then.
>>>>
>>>>Thank you.
>>>
>>>--
>>> Note: Opinions expressed here are for educational purposes
>>> only and, as such, do not constitute a physician-patient
>>> relationship. This information is not intended to supplant
>>> the need for you to consult with your physician prior to
>>> choosing therapeutic options and/or interventions.
>>> ** Private emails cannot be entertained due to time
>>> constraints; consequently, they will receive no response.
>>>
>>>William F. von Almen, II, MD, FACOG
>>>Private Practice
>>>New Orleans, La.
>>>
--
Note: Opinions expressed here are for educational purposes
only and, as such, do not constitute a physician-patient
relationship. This information is not intended to supplant
the need for you to consult with your physician prior to
choosing therapeutic options and/or interventions.
** Private emails cannot be entertained due to time
constraints; consequently, they will receive no response.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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