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Re: Classical C/S--new info From: Steve Breaux MD (breauxs@genesishealth.com) Thu Apr 6 15:59:02 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: james connerth: "Re: Cytotec, cervical ripening" Previous message: ainsron@msn.com: "Cytotec, cervical ripening" In reply to: Garry Siegel: "Re: Classical C/S--new info" Next in thread: Garry Siegel: "Re: Classical C/S--new info" Reply: Garry Siegel: "Re: Classical C/S--new info" At Wed, 5 Apr 2000, Garry Siegel wrote: > >Joe: > >Ditto--you're stuck leaving the office, IMHO. > >Today, my partner and I had an interesting case: > >30 YO P1001 at 40w0d, morbidly obese (350#, 5 feet 5 inches) who is s/p >tracheostomy for sleep apnea, has asthma. She is my partner's patient, >so I don't know her history fully, but she has been followed also my our >local MFMs who have advocated delivery by term. > >Well, last week, at 39+, the BPP showed decreased movement initally, and >her cervix has closed/high. Repeat scan was cool, and she was >technically a challege to monitor--like it really couldn't be done. > >After much discussion, she was sent home to have every other day BPPs, >which were cool over the weekend. > >On Monday, 4/3, her BPP was still good, cervix the same. >Tuesday, 4/4, AFI dropped to 4, other parameters normal. Cervix the >same. > >What would you do? If you choose to deliver, how? If you induce, and you >can't monitor externally, can't AROM, what do you do? Ripen? Section? If >so, how? > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice Garry Good luck and please let me know how it turns out. My parnter and I have one who weighs in at 460lbs currently at 15 weeks!!! -- Steve Breaux Silvis, IL Private practice -- steven breaux Next message: james connerth: "Re: Cytotec, cervical ripening" Previous message: ainsron@msn.com: "Cytotec, cervical ripening" In reply to: Garry Siegel: "Re: Classical C/S--new info" Next in thread: Garry Siegel: "Re: Classical C/S--new info" Reply: Garry Siegel: "Re: Classical C/S--new info"

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