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Re: 2 previous c-sections , IUFDFrom: Betty Rommel, MD, PhD (brommel@mindspring.com)Sun Jul 15 15:07:20 2001
At Sun, 15 Jul 2001, zuhdi khalid wrote: > >Hi everyone , I need your avice in this , A 28 years old lady G3P2+0L0 , >32 weeks gestation , Hx of 2 previoue hydrocephalic fetuses both ended >as c- sections and both died , This pregnancy hydrocephalic fetus ,IUFD >and breech ,the BPD is 6.8 cm . the fetus is hydropic , the last fetal >movement was felt 3 weeks ago. any place for vaginal delivery or >induction of labour ?????? , the patient is refusing c- section . Congratulations on setting the new world record for consecutive hydrocephalic fetal demise. I'm quite surprised that a VP shunt was not considered prior to demise, but that's "water under the bridge...and into the ventricles" at this point in time. You would do well to monitor this woman for impending DIC prior to induction & perhaps stick to prostaglandins - they seem to work best in this setting.
-- Betty Rommel, MD, PhD
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