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Re: Preterm PROM caseFrom: Braun, R. Daniel (rbraun@iupui.edu)Wed Jul 19 06:38:44 2000
Wait and watch in both cases. I would never have that problem, since I would not have gotten the PG level. PPROM is best treated by watching for signs of infection and delivering when one occurrs. Labor is considered a sign of infection in a PPROM patient. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: obgynmd [mailto:obgynmd@hotpop.com] Sent: Wednesday, July 19, 2000 1:57 AM To: Multiple recipients of list OB-GYN-L Subject: Preterm PROM case Case 1: A 26 wk pregnancy, with a h/o prolonged rupture of membranes (for more than a month), inpatient, received standard doses of steroids. Phosphatidylglycerol came back positive on a sample of AF. No signs of infection. No signs of fetal distress. Fetal growth ok on US scans. AFI shows 'moderate oligo'. Would you proceed to: 1) Delivery 2) Wait and keep expectant management to achieve further growth Case 2: Similar to case 1, but 30 wk of GA. Thanks for your inputs. Sing-Hung Chang, M.D.
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