|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Two OB questionsFrom: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net)Wed Jul 2 16:39:18 2003
The Obstetrician I work for asked me to get Management opinions re the following situations: 1. An OB patient with Thrombocytopenia (Plat 125,000); Positive Platlet antibody. If platlets stay over 50,00, can patient deliver vaginally or is C/S needed? [Lynn D. Montgomery, M.D.] No longer do PUBS to evaluate the fetal platelet count unless mom has had ITP and a splenectomy. Typically allow vaginal delivery. 2. How long after delivery (C/S on IDDM patient) would you give MgSO4 for hypertension? Patient had borderline B/Ps prior to C/S yesterday--platelets normal; serum creatnine .9; LFTs normal. Today B/Ps are 190-200/90-100. Is MgSou4 indicated more than 24 hrs PP or would other anti-hypertensive agents (Labetalol) be better? [Lynn D. Montgomery, M.D.] Treat hypertension with antihypertensives (i.e. apresoline, calcium channel blocker, labetalol, etc). Treat preeclamptics with Mg sulfate for 24 hours post delivery or to the onset of diuesis, which ever occurs first, only to prevent seizures. Lynn
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Thu Oct 2 04:44:41 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.