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Re: PCOS - timing of delivery From: Dr James Lie (splaz@cyllene.uwa.edu.au) Mon Jun 28 10:46:50 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: PCOS - timing of delivery" Previous message: Braun, R. Daniel: "Re: 2 cases of AGUS" In reply to: Braun, R. Daniel: "Re: PCOS - timing of delivery" Next in thread: Braun, R. Daniel: "Re: PCOS - timing of delivery" MessageDan Thank you. Please correct me if i am wrong:- If fetal macrosomia (or fear of) is the reason for induction - this may be true only if there is persistent maternal hyperglycaemia due to poor control --> leading to increased fetal insulin --> macrosomia. Therefore even if there is maternal insulin resistance like in PCOS and GDM - so long as there is maternal euglycaemia then should leave things be till 41 wks. Thanks - I had a bout of irrational thinking. -- James Lie -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Braun, R. Daniel Sent: Monday, 28 June 2004 7:22 PM To: Multiple recipients of list OB-GYN-L Subject: RE: PCOS - timing of delivery What is your rationale for inducing GDM at 38 weeks? Data?????? I would treat this woman as GDM only if she met the criteria for the Dx. i.e. 2 abnormal values on a 3 hour GTT. Dan "Sound is like water. If you drill one hole in the wall the sound will leak right through." - JAY BRAUN, a band member by love, a soundproofer by necessity. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr James Lie Sent: Friday, June 25, 2004 9:11 PM To: Multiple recipients of list OB-GYN-L Subject: PCOS - timing of delivery Comments please re timing of delivery for women with PCOS. My specific case is a 24yo primip with impaired glucose tolerance. Should I treat her as if she has gestational diabetes and induce at 38 wks? James Lie MBBS Western Australia Next message: Braun, R. Daniel: "Re: PCOS - timing of delivery" Previous message: Braun, R. Daniel: "Re: 2 cases of AGUS" In reply to: Braun, R. Daniel: "Re: PCOS - timing of delivery" Next in thread: Braun, R. Daniel: "Re: PCOS - timing of delivery"

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