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Re: Preterm PROM case From: obgynmd (obgynmd@hotpop.com) Wed Jul 19 19:11:27 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: obgynmd: "Re: Triplets" Previous message: obgynmd: "Re: Preterm PROM case" Maybe in reply to: obgynmd: "Preterm PROM case" Next in thread: Paul Prior MD: "Re: Preterm PROM case" Reply: Paul Prior MD: "Re: Preterm PROM case" You're right. Definitely closer to the actual management in these cases. ----------------------------------------------- ----------------------------------------------- They should omit the lung maturity testing from the protocol, as it is clinically of little use here in very premature pregnancies. Sing-Hung Chang, MD >----- Original Message ----- From: "Braun, R. Daniel" <rbraun@iupui.edu> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> Sent: Wednesday, July 19, 2000 6:40 AM Subject: Re: Preterm PROM case > 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: Triplets" Previous message: obgynmd: "Re: Preterm PROM case" Maybe in reply to: obgynmd: "Preterm PROM case" Next in thread: Paul Prior MD: "Re: Preterm PROM case" Reply: Paul Prior MD: "Re: Preterm PROM case"

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