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Re: Case presentation: Let's play what would you do next From: Martha Cecile Graf (mgraf@nmhs.org) Fri Aug 25 11:30:56 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ENDODOK@aol.com: "Re: R: T V T Complications" Previous message: Martha Cecile Graf: "Re: Case presentation: Let's play what would you do next" In reply to: Larry Glazerman: "Re: Case presentation: Let's play what would you do next" Next in thread: Efrain Ramirez: "Re: Case presentation: Let's play what would you do next" According to Phelan's study, variability didn't matter in those cases he reviewed At 11:04 PM 8/24/2000 -0500, you wrote: >I know the strip was nonreactive, but how bad was it? How was the variability? > >I think you could certainly continue if the variability is reasonable. > >At 09:38 PM 8/24/00 -0500, you wrote: >>24 yr old, otherwise healthy, primigravid, 40 weeks gestation by dates and >>mid second trimester scan, presents to L&D with c/o labor. >> >>Not in labor, non-reactive fetal activity study. Cervix 80%, soft, >>fingertip, -3 station. >> >>U/S two days prior to presenting to L&D, done to confirm presentation showed >>adequate amniotic fluid volume. >> >>OCT Negative. Decision made to continue pitocin as patient was term, L&D >>wasn't busy, (soft reasons I know but there they are) >> >>Still with non-reactive strip but no decels. contracted every 2 1/2 to 4 >>minutes for 8 hours, pitocin level to 24 units/minute, no cervical change. >>No decelerations at all but still non-reactive. Mom claims baby is still as >>active as it usually is. (no I don't mean that usual=one time per day, but >>a reasonably active term baby) It is now 9 pm, mom tired and hungry. >> >>what would you do next? >> >>Kevin > >Larry R. Glazerman, MD >Ob-Gyn at Trexlertown >610-402-0161 >l.glazerman@rcn.com > M. Cecile Graf, RNC, MSN Clinical Nurse Specialist High Risk Obstetrics Next message: ENDODOK@aol.com: "Re: R: T V T Complications" Previous message: Martha Cecile Graf: "Re: Case presentation: Let's play what would you do next" In reply to: Larry Glazerman: "Re: Case presentation: Let's play what would you do next" Next in thread: Efrain Ramirez: "Re: Case presentation: Let's play what would you do next"

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