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Re: preterm ROM From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Mar 10 15:51:37 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: suspected macrosomia outcome ?" Previous message: Garry E. Siegel, M.D.: "Re: cerclage question" In reply to: Richard Chudacoff, MD: "preterm ROM" Next in thread: DoctorJoe@aol.com: "Re: preterm ROM" Agree with others; I would: Use Ampicillin and Erythromycin to prolong latency. Keep in house. Section for obstetrical reasons only. Stop all tocolysis, and not restart it. Make sure she's vertex (sorry)! Monitor with BPPs 2 to 3 times a week, and NSTs daily. I am not impressed with frequent CBCs, and don't do them. Garry At Wed, 10 Mar 2004, Richard Chudacoff, MD wrote: > >Dang, it has been a couple of years since I had one of these. > >27 yo G3 P2 at 32+4 weeks EGA, admitted 36 hours ago with PTL. Stopped with >Terbutaline. Finished Dexamethasone this morning, has been on Ampicillin >since admission, as well as Macrobid for a presumptive UTI picked up a day >earlier. Cervix at admission was 70%/3-4 cm/-2, and this AM 40%/1-2/way up >high. Already to go home to bed rest, then she SROMs. > >No question of her staying in the house now, but do I add another >antibiotic? Do I keep her on Terbutaline (which can mask HR elevation?) > >Oh ya, her husband is an MD, so you KNOW this was going to happen > >-- >Richard Chudacoff, MD > >[We stand] today poised on a pinnacle of wealth and > > power, yet we live in a land of vanishing beauty, of > > increasing ugliness, of shrinking open space and of an > > overall environment that is diminished daily by pollution > > and noise and blight. This, in brief, is the quiet > > conservation crisis. > >Stewart <http://www.brainyquote.com/quotes/quotes/s/stewartlu112379.html> >L. Udall > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Re: suspected macrosomia outcome ?" Previous message: Garry E. Siegel, M.D.: "Re: cerclage question" In reply to: Richard Chudacoff, MD: "preterm ROM" Next in thread: DoctorJoe@aol.com: "Re: preterm ROM"

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