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Re: "routine" prenatal visit LONG of courseFrom: Braun, R. Daniel (rbraun@iupui.edu)Mon Aug 21 07:08:43 2000
I find that lack of weight gain can be successfully managed with supplements like a DQ milk shake after dinner every night. Great compliance. 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: Rupak Ranjan Roy [mailto:rupakray@caltiger.com] Sent: Saturday, August 19, 2000 1:24 PM To: Multiple recipients of list OB-GYN-L Subject: Re: "routine" prenatal visit LONG of course
>----- Original Message -----
> Comments in the thread about bed rest make me want to poll the list about 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 I agree. Rupak Ranjan Roy MRCOG
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