IUFD
From: ainsron@msn.com
Tue Apr 25 01:21:43 2000
A patient presented today from out of the area at 42.5 weeks, G3, P1,
initial prenatal care by a CNM, then seen during the last half of her
pregnancy by a lay-midwife for a planned home delivery. C/O decreased
fetal movement for 2-3 days, unable to get any of the MDs in her
community to see her for a NST. Evaluation by real-time sono showed
absent FHTs, transverse lie, EFW 10+, pelvis proven to 10#, Cervix is
long, soft, closed with no presenting part in the pelvis. Normal
coagulation parameters, BP ~160/100 range, therefore admitted and placed
on MgSO4. Attempted version was unsuccessful. What would be your
choice of delivery?
1) Cytotec
2) Pitocin
3) Cervidil or prostaglandin
4) C/S
5) other
--
Ronald E. Ainsworth, MD
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