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Re: breech-breech at 33+4From: Garry E. Siegel, M.D. (garrys@mindspring.com)Mon Jan 17 16:28:08 2005
Richard: As they say in Alabama (where I trained), steroids do not turn chicken droppings into chicken salad. 34 week babies do well, and the steroids are only helpful in that regard. 34 week babies do need CPAP, umbilical artery lines, etc., if not ventilators, at times. The are not without morbidity, even though the mortality is basically that of a term baby. Why must you deliver her at all unless she forces your hand a bit more? What is your indication for this premature delivery? Prodromal labor/Preterm labor? I would hopsitalize, FWIW, and check her cervix every day or two, I suppose. You might buy a few more days. . .Obviously, she won't last too long, I bet, but who knows? Garry, the devil's advocate here. What do others think?
At Mon, 17 Jan 2005, Richard Chudacoff, MD wrote:
>
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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