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Re: Opinions please! From: Braun, R. Daniel (rbraun@iupui.edu) Sun Feb 27 13:38:08 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: questions" Previous message: Efrain Ramirez: "Re: questions" Maybe in reply to: Luis Sanchez-Ramos, MD: "Opinions please!" Next in thread: Luis Sanchez-Ramos, MD: "Re: Opinions please!" Reply: Luis Sanchez-Ramos, MD: "Re: Opinions please!" By Jove, I think there is a real consensus Here. Dan -----Original Message----- From: eramirez@icepr.com To: Multiple recipients of list OB-GYN-L Sent: 2/27/00 11:22 AM Subject: Re: Opinions please! At Sun, 27 Feb 2000, Efrain Ramirez wrote: > >C/S -- neonatolgists may have a hard time but he will do better than >inside THE uterus. :-) >At Sat, 26 Feb 2000, Luis Sanchez-Ramos, MD wrote: >> >>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 >> >-- >"The things you learn after you know everything are the important ones" > -- "The things you learn after you know everything are the important ones" Next message: Paul Prior MD: "Re: questions" Previous message: Efrain Ramirez: "Re: questions" Maybe in reply to: Luis Sanchez-Ramos, MD: "Opinions please!" Next in thread: Luis Sanchez-Ramos, MD: "Re: Opinions please!" Reply: Luis Sanchez-Ramos, MD: "Re: Opinions please!"

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