Re: Preterm PROM case
From: Jim Connerth (babydoc@apex.net)
Wed Jul 19 21:40:07 2000
PPROM is associated with abruptio,pulmonary hypoplasia,and skeletal
deformaties-among others.
obgynmd wrote:
> 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.
> >
