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Re: PCOS - timing of deliveryFrom: Braun, R. Daniel (rbraun@iupui.edu)Mon Jun 28 12:11:44 2004
Plus studies show that early induction does NOT decrease incidence of Macrosomia. "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: Monday, June 28, 2004 10:48 AM To: Multiple recipients of list OB-GYN-L Subject: RE: PCOS - timing of delivery Dan 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
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