Re: Demise delivery

From: Abdul Raman Lilla (arlilla@hotmail.com)
Tue Jan 13 22:16:11 2004


Lynn

I would wait for spontanious labour, 2 or 4 weeks monitoiring the clotting profile. Its difficult especially for the patient, however a long chat would convince her.

Good luck!

Abdul

>From: Charlie Chambers <cchamber@gorge.net>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Demise delivery
>Date: Tue, 13 Jan 2004 17:41:37 -0600
>
>Lynn
>
>That's a tough one. I can see both ways on this one. I'd hate to do a
>cesarean on a patient with a demise, but say the patient has significant
>morbidity with a trial of labor. I think I would lean towards repeating
>the c/s but I wouldn't argue with anyone giving a trial of labor.
>
>On Jan 13, 2004, at 1:39 PM, Lynn D. Montgomery, M.D. wrote:
>
>>Really need y'all's opinion,
>>Have a patient who is 25 weeks gestation with a fetal demise.  Only
>>previous pregnancy delivered at 26 weeks for severe PIH via classical
>>cesarean section - documented by operative report.
>>How would everybody deliver?
>>Lynn 
>> 
>>Lynn D. Montgomery, M.D.
>>Rocky Mountain Women's Health
>>2835 Fort Missoula Rd., Suite 303
>>Missoula, Montana, 59804
>>406-549-0978
>>fax 406-549-0987
>>e-mail: apgar10@montanadsl.net
>>
>> 
>>
>************************************************************************ *
>Charlie Chambers
>Hood River, OR

>cchamber@alumni.rice.edu
>
>"No matter where you go...
> there you are."
>Dr. Buckaroo Banzai
>************************************************************************

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