Re: OB: Advanced maternal Age
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sun Mar 6 20:49:16 2005
No, but FWIW, our local MFM group puts a line in their letters to us
that gravidas 40 and over are at higher risk of poor outcome (I'm not
exactly sure what they say) and they do recommend surveillance.
Garry
At Sun, 6 Mar 2005, Andrew Folley wrote:
>
>Anyone doing anything special for OBs over 35?? Over 40? In regards to
>increased surveilllance and monitoring in last trimester??
>
>>From: "Andrew Folley" <agfolley@hotmail.com>
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: Re: OB: Those crazy VBACs
>>Date: Fri, 4 Mar 2005 18:10:02 -0600
>>
>>>From: "R. Daniel Braun" <rd.braun@gmail.com>
>>>Reply-To: ob-gyn-l@obgyn.net
>>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>>Subject: Re: OB: Those crazy VBACs
>>>Date: Thu, 3 Mar 2005 21:39:42 -0600
>>>
>>>At 41 weeks the section rate gets to be nearly 40% if you induce and
>>>about 43% if you just follow them with NST's. Several RCT's in the
>>>literature showing that. Also a Meta-analysis by Hannah from Toronto.
>>>
>>>On Thu, 3 Mar 2005 20:31:51 -0600, Garry E. Siegel, M.D.
>>><garrys@mindspring.com> wrote:
>>> > I won't have the 100% right, but good enough for fun.
>>> >
>>> > 36 YO P3003, CNM patient, in the office at 41w3d for NST, which is
>>> > reactive, on Wednesday.
>>> >
>>> > 1st delivery--LTC/S for pushing, OP. Forgot the weight--sorry.
>>> >
>>> > 2 VBACs afterwards--easy 8-ish pounds.
>>> >
>>> > Now 41w3d, 2-3 cm./70%.
>>> >
>>> > I happened to see this chart in the door and reviewed, and felt
>>> > obligated to put in my $0.02 to the CNM and have a face to face chat
>>> > witht the patient.
>>> >
>>> > What would you tell the patient? BTW, she said she's always late and
>>>her
>>> > kids have always been OK.
>>> >
>>> > Garry
>>> >
>>> > --
>>> > Garry E. Siegel, M.D.
>>> > Private Practice
>>> > Roswell, GA
>>> >
>>>
>>>--
>>>R. Daniel Braun
>>> Kinky for Governor
>>
>
>--
>_________________________________________________________________
>
>_________________________________________________________________
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
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