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2 questionsFrom: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)Thu Oct 10 10:48:48 2002
28 YO G2P0, with an 18 week loss secondary to PROM less than one year ago returned to my office at 22 weeks estimated gestational age. Her prenatal examination noted a slightly dilated external OS, and that weekend she had been tinged vaginal discharge. I reexamined her and her external OS seemed slightly more dilated, and therefore I put a cervical cerclage in her two days ago. Part of her preoperative evaluation I got a fetal fibronectin so I could have a baseline. Wouldn’t you know it, but it came back positive. I have her on Indocin for 48 hours postop, but now what do I do? Second question: have you heard of this, and is anybody doing this in Houston? Tolerance-hyperbaric test (THT) that finds gestational hypertension and preeclampsia 23 weeks earlier than would be suspected clinically.
-- Richard Chudacoff, MD, FACOG
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