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Re: Opinions please! From: steve (steve@dhngwe2.db.healthlink.org.za) Sun Feb 27 01:35:29 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: steve: "Re: GYN: Hymenectomy" Previous message: DoctorJoe@aol.com: "Re: how to get a baby on time" Maybe in reply to: Luis Sanchez-Ramos, MD: "Opinions please!" Next in thread: Efrain Ramirez: "Re: Opinions please!" This baby is going to die if you don't deliver in the nexr 24 hours - get it out!!! Steve Raymond > A colleague (MFM) left me the following patient for the week-end: > 24 y/o b/f G31011 at 27 weeks' gestation based on a scan performed 6 > days ago (late entry prenatal care). Previous child weighed 2240 g at > "term". The current pregnancy is complicated by the following: marked > oligohydramnios (unresponsive to aggressive IV hydration). On ultrasound: > both kidneys and bladder visualized. Dilated loops of bowel; rest of > anatomy not well-delineated due to oligohydramnios. Doppler velocimetry > showed (AEDV) absent end diatolic velocity. Fetus is presenting as > footling breech and EFW is 1008 grams. Biophysical profile has been 6/10 > (no breathing movements or reactive NST). EFM shows several variable > decelerations (mild to moderate for the most part). Patient refers "good > fetal activity". My partner attempted transabdominal amnioinfusion but > was unsuccessful. The patietn has received two doses of betamethasone (1 > course). There was some suspicion of preeclampsia with very mild > elevation of systolic blood pressure. Normal labs except for elevated LDH > (408 -> 261). any recommendations?? Thanks. > > Luis Sanchez-Ramos, MD > Dr. S.H. Raymond Head of Department of O & G Empangeni Hospital EMPANGENI South Africa 3880 Ph. (27)+(35)7721111 Fax (27)+(35)7922596 Next message: steve: "Re: GYN: Hymenectomy" Previous message: DoctorJoe@aol.com: "Re: how to get a baby on time" Maybe in reply to: Luis Sanchez-Ramos, MD: "Opinions please!" Next in thread: Efrain Ramirez: "Re: Opinions please!"

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