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Re: Preterm PROM case From: obgynmd (obgynmd@hotpop.com) Wed Jul 19 19:11:41 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: obgynmd: "Re: Preterm PROM case" Previous message: obgynmd: "Re: Triplets" Maybe in reply to: obgynmd: "Preterm PROM case" Next in thread: obgynmd: "Re: Preterm PROM case" At our department, we use the following parameters: ----------------------------------------------- Mild oligohydramnios = AFI 4.5-5.5 ----------------------------------------------- Moderate oligo = AFI 3.5-4.5 Severe oligo = AFI <3.5 >----- Original Message ----- From: "art fougner, md" <evsono@pipeline.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> Sent: Wednesday, July 19, 2000 8:53 AM Subject: Re: Preterm PROM case > 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. > Next message: obgynmd: "Re: Preterm PROM case" Previous message: obgynmd: "Re: Triplets" Maybe in reply to: obgynmd: "Preterm PROM case" Next in thread: obgynmd: "Re: Preterm PROM case"

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