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Re: "routine" prenatal visit LONG of course From: Rupak Ranjan Roy (rupakray@caltiger.com) Sat Aug 19 13:21:22 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jim Connerth: "Re: medical & surgical forums" Previous message: farouk: "medical & surgical forums" Maybe in reply to: K Dew: ""routine" prenatal visit LONG of course" Next in thread: Braun, R. Daniel: "Re: "routine" prenatal visit LONG of course" >----- Original Message ----- From: K Dew <kdew@bellsouth.net> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: 19 August 2000 18:08 Subject: "routine" prenatal visit LONG of course > Comments in the thread about bed rest make me want to poll the list about > what they consider part of the routine prenatal visit. > > I always get weight, dip the urine, bp (left side), fundal height, fetal > heart tones by Doppler, check for edema. I do not weigh mothers. I feel that there is hardly anything one can do if the mother gains or does not gain weight. I check the fundal height and if there is any suspicion of IUGR, order an ultrasound scan. Even if the mother gains too much weight I do not worry too much as long as the blood pressure remains normal. On the other hand, a woman can become unnecessarily worried if her weight gain is not quite like that of her friend. In fact, I did encounter a patient who spent sleepless nights after finding out that she had lost 500 gms in 4 days - (a fault with the machine being the reason). I did not ask for a weight check, she did it herself. While typing this, I just thought - why do we look for edema? Does it change our management. After all, nearly 85% of women have edema in pregnancy. > And, evidence based or not, I have quite a few patients on bed rest. I do > it when there a patients who are pre-term, symptomatic, dilated or effaced > and with a head well applied to the cervix. I ain't no genius but it seems > that if we tell patients that "false labor goes away with walking, real > labor doesn't" and if we remember the forces of gravity that limiting > activity and changing gravity's effect from an upright baby on a cervix to a > sideways pressure on the uterus (i.e. lying down) we might, just might, have > a positive influence. I agree. Rupak Ranjan Roy MRCOG Next message: Jim Connerth: "Re: medical & surgical forums" Previous message: farouk: "medical & surgical forums" Maybe in reply to: K Dew: ""routine" prenatal visit LONG of course" Next in thread: Braun, R. Daniel: "Re: "routine" prenatal visit LONG of course"

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