Re: Preterm PROM case

From: art fougner, md (evsono@pipeline.com)
Wed Jul 19 08:52:40 2000


define "moderate oligohydramnios" please.

my personal bias ( definitely NOT evidence - based) is to use Manning and Platt's original restrictive definition for oligohydramnios in these settings - no pockets 1.0 cm or greater.

art

At Wed, 19 Jul 2000, obgynmd wrote: >
> -----------------------------------------------
>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.

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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