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Re: let's play part 2 (see part one for full story) From: art fougner, md (evsono@pipeline.com) Fri Aug 25 15:58:40 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Eberhard W Lisse: "Re: fundal pressure" Previous message: Efrain Ramirez: "Re: let's play part 2 (see part one for full story)" In reply to: Efrain Ramirez: "Re: let's play part 2 (see part one for full story)" Next in thread: Efrain Ramirez: "Re: let's play part 2 (see part one for full story)" Reply: Efrain Ramirez: "Re: let's play part 2 (see part one for full story)" no abstract - sorry - however, very provocative and interesting reading. Br J Obstet Gynaecol 1982 Mar;89(3):179-85 Categorization of terminal fetal heart-rate patterns in antepartum cardiotocography. Langer O, Sonnendecker EW, Jacobson MJ the premise is that there is a trace ( quite similar to the one being described) which justifies immediate delivery (apologies to Malcolm X) by any means necessary. art At Fri, 25 Aug 2000, Efrain Ramirez wrote: > >I see no reason why this patient needs a C/S at this moment witout a >BPP-IMHO - if BPP shows good FBM's - etc - 8/10 - negative OCT - if >something happens to Mom - lot to explain -in my view - very well can >have CNS/congenital anomalies - but you are saying that a non reactive >NST (and a negative OCT)is a fetal indication for immediate C/S even if >a BPP gives 8/10? > >At Fri, 25 Aug 2000, art fougner, md wrote: >> >>SECTION! >> >>art >> >>At Fri, 25 Aug 2000, K Dew wrote: >>> >>>to add more info. >>> >>>LTV 5-10 beat at most, STV was minimal. >>> >>>As mentioned, AFV normal. Biophysical profile not performed as OCT >>>(extended: remember 8 hours of ctx without decels) AFV 48 hours prior was >>>normal and mom cont'd to mention fetal movement as normal >>> >>>I decided to turn off the pitocin, feed the patient, let her shower and give >>>her misoprostol 25 mg po at 2300,& 0300 and resume the pitocin at 0700 the >>>following morning. >>> >>>still decreased ltv and stv, no decels >>> >>>cx still at 80%, FT, -3 >>> >>>comments please, more info to follow >>> >>>Kevin >> >>-- >>art fougner, md >> >>A series of 1000 cases begins with but a single anecdote. >> >-- >"Do not take life too seriously. You will never get out of it alive." > >Marianne Williamson > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Eberhard W Lisse: "Re: fundal pressure" Previous message: Efrain Ramirez: "Re: let's play part 2 (see part one for full story)" In reply to: Efrain Ramirez: "Re: let's play part 2 (see part one for full story)" Next in thread: Efrain Ramirez: "Re: let's play part 2 (see part one for full story)" Reply: Efrain Ramirez: "Re: let's play part 2 (see part one for full story)"

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