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Re: Preterm 'Macrosomia' From: Efrain Ramirez (eramirez@icepr.com) Fri Dec 29 19:31:18 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Preterm 'Macrosomia'" Previous message: Brickster0@aol.com: "Re: OB: CPT question" In reply to: Efrain Ramirez: "Re: Shoulder dystocia case" Next in thread: art fougner, md: "Re: Preterm 'Macrosomia'" Reply: art fougner, md: "Re: Preterm 'Macrosomia'" Did you see the films? One good U/S at 9-10 weeks would suffice!! why 3? What did you use for tocolysis? Bet you repeat GTT at 34 weeks and get it "positive" . good luck. At Fri, 29 Dec 2000, Dr. Lynn Montgomery wrote: > >I have to say, I have never encountered this circumstance in my obstetric >career. Any Suggestions? > >38 G2 P1, currently at 29.5 weeks gestational age based on three first >trimester ultrasounds, referred for preterm labor, possible macrosomia and >polyhydramnios. On initial evaluation, has a fundal height of 42 cm and >cervix is fgt/80%/soft. Ultrasound gives an estimated fetal weight of 5# >9oz and an AFI just above the upper limit of normal at 25. Despite having >had three scans in the first trimester verifying dates, I don't believe >them, thinking that she is actually at least a month further along and I >amnio her for maturity. The FLM comes back at 6 (mature is 55). In other >words, the dates are likely correct. Monitored blood glucose values for a >solid week with great values-no evidence of occult diabetes. > >So, now I have basically a 6 pound baby at 30 weeks gestation. I am >stopping preterm labor for what seems to be primarily macrosomia. Usually >worrying about the smallness of a premie. In this case, I am concerned we >are going to have the true "original bubba". > >Lynn > >-- >Lynn D. Montgomery, M.D. >Director, Maternal-Fetal Medicine >Rocky Mountain Perinatal Center >2825 Fort Missoula Rd, Suite 130 >Missoula, Montana, 59804 >406-327-4094 >fax: 406-327-4154 >e-mail: lmontgomery@communitymed.org >website: http://www.communitymed.org/rmpc/ > -- "Life is neither the notes nor the silence between the notes, but the music that arises out of sound and silence felt as a living whole. Stop choosing...between chaos and order, and live at the boundary between them, where rest and action move together..." Next message: art fougner, md: "Re: Preterm 'Macrosomia'" Previous message: Brickster0@aol.com: "Re: OB: CPT question" In reply to: Efrain Ramirez: "Re: Shoulder dystocia case" Next in thread: art fougner, md: "Re: Preterm 'Macrosomia'" Reply: art fougner, md: "Re: Preterm 'Macrosomia'"

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