Re: Preterm PROM case

From: obgynmd (obgynmd@hotpop.com)
Wed Jul 19 19:11:21 2000


Don't have the exact numbers handy. But I do know that for a 26 wk immature ----------------------------------------------- newborn, ----------------------------------------------- morbimortality is significant hereabouts.

>----- Original Message -----
From: "Efrain Ramirez" <eramirez@icepr.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> Sent: Wednesday, July 19, 2000 7:11 AM Subject: Re: Preterm PROM case

> Wait - daily monitoring on both any sign of deterioration --out..- how
> good (statistics) is your nursery?
>
> 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.
>
> --
> "Do not take life too seriously. You will never get out of it alive."
>
> Marianne Williamson
>





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