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Re: Preterm PROM caseFrom: Steve & Eryl Raymond (eryl@intekom.co.za)Wed Jul 19 11:08:26 2000
"The decision to induce is a decision to deliver" this is what I was taught in my first year. So first you have to ask if you want to deliver these babies. In order to answer that you have to be convinced that they would be "better out than in". If they are growing normally and show no signs of placental compromise or infection they should stay where they are. If the white count rises or liquor volume falls, then they should come out. Are they still draining liquor? Because if not then the hole has sealed over and there's no reason why they can't go to term. On 19 Jul 2000, at 1:57, 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. Sing-Hung Chang, M.D. Dr. Steve Raymond Head of Department of O & G Empangeni Hospital Empangeni SOUTH AFRICA 3880 Ph:(+27)(035)77721111
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