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Re: preterm ROMFrom: GIN11153@aol.comWed Mar 10 13:56:51 2004
Dr. Chudacoff, I realize I am 'just a nurse', but I have learned a lot being certified in high risk OB for 10 years and working in the obstetrics setting for 30 years. I have seen may patients in your situation who did go home, if they were at -1 station and no higher to prevent cord prolapse), with serial white counts done, usually 3 times a week. Mom is instructed to take her temp every 6 hours and record it, along with kick counts . Half the patients have been on prophylactic antibiotics(usually Keflex as Ampicillin can cause difficult to treat monilia infections and diarrhea despite daily yoghurt and lactobacillis tablets)-the other half are not on anything. Most also have 2-3 times a week NSTs done. I have not seen patients sent home on Terbutaline, I assume because one would want to know if the uterus was becoming irritable from chorioamnionitis. Don't know why doctors' wives have more complications-being a doctor's wife myself I can say that it does seem to happen quite a lot. I hope your patient can keep her 'bun in the oven' as long as possible. Good luck! Gail Neuman RNC CPHW SNP Perinatal education Perinatal Nurse Associates Tustin, CA
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