Re: Pre-eclampsia...

From: ainsron@msn.com
Thu Feb 22 09:35:22 2001


She's a train wreck waiting for a place to happen. Just be glad she's out of your hands. I agree that she should be delivered ASAP (preferably yesterday!). Anyone foolish enough to sit on this woman at term has my sympathy, as does her her family.

At Thu, 22 Feb 2001, Kathi Wilson wrote: >
>Can anyone offer an explanation as to why you would *not* immediately
>induce a 36 1/2 week (confirmed by u/s) G3 woman w/ elevated BP and
>elevated LFT's? The experience that I've had at our primary hospital is
>that anyone who shows evidence of end-organ involvement w/ PIH at term
>does not pass "go" but has a baby pronto. We had one woman last year
>who presented w/ epigastric pain as her primary sx and was sectioned for
>full-blown HELLP 12 hours later (during which time her platelets dropped
>from 122K to 40K) -- I've always had a healthy respect for how fast
>these women can get really, really sick.
>
>The woman to whom I refer was admitted to our secondary (and rarely
>used) hospital (by her choice, not ours) yesterday w/ headache, elevated
>BP and wonky labs. She's also probably gestational diabetic -- I say
>probably because she flunked her GCT at 9.9, was given her req for her
>OGTT and decided not to go (she's been *ahem* not terribly compliant,
>and missed several appointments). She's large for dates, and large,
>period (260 lb). I'm frankly glad that she's now out of our care, but
>can't understand why she hasn't had a baby yet....
>
>--
>Kathi Wilson, RM
>Ilderton, Ontario, Canada
>mailto:wilsonk@gtn.on.ca
>**********************
>Thames Valley Midwives
>**********************

>346 Platts Lane,
>London, Ontario, Canada
>
>http://tvm.on.ca
>mailto:info@tvm.on.ca
>

--
Ronald E. Ainsworth, MD




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