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Richard Chudacoff, MD
Chudacoff Obstetrics & Gynecology, PLLC
Obstetrics Gynecology Pelvic Surgery Infertility
Sugar Land Office West Houston Office
15200 Southwest FWY #270 12121 Richmond Ave., Suite 401
Sugar Land, TX 77478 Houston, TX 77082
281-277-3900
281-277-3901 (FAX)
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Braun, R.
Daniel
Sent: Monday, August 21, 2000 7:10 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: "routine" prenatal visit LONG of course
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 -----
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
