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Re: Preterm PROM case From: obgynmd (obgynmd@hotpop.com) Wed Jul 19 19:11:20 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: obgynmd: "Re: Preterm PROM case" Previous message: Joanne Bulley, MD: "Re: Web pages, obstetrics, newborns" Maybe in reply to: obgynmd: "Preterm PROM case" Next in thread: obgynmd: "Re: Preterm PROM case" How unexpected? ----------------------------------------------- ----------------------------------------------- Just like it had nothing to do with the PROM at all? Or you mean to say that the PROM predisposed the abruptios? Sing-Hung Chang, MD >----- Original Message ----- From: "james connerth" <babydoc@apex.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> Sent: Wednesday, July 19, 2000 6:49 AM Subject: Re: Preterm PROM case > Have had a couple "unexpected" significant abruptions in these cases > > "Braun, R. Daniel" wrote: > > > 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. > Next message: obgynmd: "Re: Preterm PROM case" Previous message: Joanne Bulley, MD: "Re: Web pages, obstetrics, newborns" Maybe in reply to: obgynmd: "Preterm PROM case" Next in thread: obgynmd: "Re: Preterm PROM case"

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