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Re: Two OB questions From: Efrain Ramirez (eramirezt@coqui.net) Wed Jul 2 21:55:44 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: stless Legs Syndrome" Previous message: art fougner, md: "Re: Las Vegas" In reply to: Braun, R. Daniel: "Re: Two OB questions" Agree - vaginal delivery - can't predict neonatal status - has she been treated with prednisone? MgS04 for seizure prevention - (up to 24 hrs after delivery) I like labetalol - 20mgs - increase to 40 then 80 if no response- good luck. At Wed, 2 Jul 2003, Braun, R. Daniel wrote: > >The last I knew, we didn't do C/S for ITP unless baby had low platelets >and the only way to know that was PUBS and we decided that PUBS was too >dangerous in ITP therefore we didn't do C/S for ITP anymore. Do I >remember correctly? > >I don't give MgSO4 for hypertension at all only to prevent seizures. In >the case described below antihypertensives would be indicated. >Hydralazine, labetalol, nifedipine, etc whatever one is most comfortable >with. > >Dan > >-----Original Message----- >From: Len2976@aol.com [mailto:Len2976@aol.com] >Sent: Wednesday, July 02, 2003 3:23 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: Two OB questions > >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? > >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? > >Lenora McCall, CNM -- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth." Niels Bohr (1885 - 1962) Next message: Efrain Ramirez: "Re: stless Legs Syndrome" Previous message: art fougner, md: "Re: Las Vegas" In reply to: Braun, R. Daniel: "Re: Two OB questions"

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