OB-GYN-L Messages for April, 2002: Re: Expectant management of placental abruption

Re: Expectant management of placental abruption
From: Steve & Eryl Raymond (eryl@intekom.co.za)
Thu Apr 11 01:36:23 2002

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Maybe in reply to: C.Moi,M.D: "Expectant management of placental abruption"

<!doctype html public "-//w3c//dtd html 4.0 transitional//en"> I remember someone telling me in no uncertain terms that APH = ARM. I have no doubt in my mind that the grey hairs on my head are in large part due to those of my residents who think that the bleeding has stopped and the baby is doing fine, so we can wait a bit longer. The limit of their waiting is inevitably the big second bleed usually with an FSB. Get that baby delivered.
stray
Joe Cutchin wrote:
"stable"abrution? I do not think so. You have given the beta ,deliver the
child into a better environment via CS.
"C.Moi,M.D" wrote:
> 17 yr old pgda @30 weeks with "stable" abruption, initially 8x6 cm
> retroplacental clot seen on U/S ,then bleeding slowed down with short
> term tocloysis & betamethasone was given , the clot went down to 4X3 cm
> and pt is stable , she's in hospital now for 10 days on bed rest, blood
> count improving(received 2 units initially),but hgb is rising even a
> week after transfusion.
> Baby is stable, no decelerations,mom spots slightly every once in
> awhile.
> Would you have done differently?
> Would you send her home? or keep til ??
--
Dr.S.H. Raymond
Head of Department of O & G
Empangeni Hospital
South Africa 3880
Phone: (+27) 35-7721111
Fax: (+27) 35-7922596

Next message: CNordqvist@aol.com: "Abbreviations used in science and healthcare"
Previous message: Bernard Cristalli: "Semantics. Ex: AMOL"
Maybe in reply to: C.Moi,M.D: "Expectant management of placental abruption"

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