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Re: OB: Fun with preeclampsiaFrom: Mats O. Bergstrom (mob@mbox301.swipnet.se)Fri Jul 27 21:48:24 2001
At 13:47 2001-07-27 -0500, Steve or Eryl Raymond wrote:
>.....and you didn't tell us what her uric acid was We still always measure urea/serum (which is not uric acid but probably physiologically very related?) in all patients with preecclampsia, including HELLP (Hemolysis; Elevated Liver enzymes; Low Platlets). However, the case for urea having very much - or anything? - to do with the clinical outcome has always been weak. One problem is that normal levels in pregnant women are poorly defined. An associate at our institution (Edelstam G) ran blood tests on quite a few healthy gravidae including urea/s and evidently quite high levels are compatible, without intervention, with uneventful pregnancies and grade A kids. Mats Bergstrom, MD Ob Gyn South Hospital Stockholm PS I don't want to get into the "luisial" discussion but... when I used to practice obstetrics as a resident and, later, inhouse consultant (as the system goes over here I'm still functioning as senior consultant in obstetrics at regular night and weekend watches although I´m practicing exclusively gyn at office hours) I surely sampled for one or two scalp-pH's every working day (5000 deliveries/year in our institution) for quite a few years. So, the 500 total seems very, very realistic to me.
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