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Interesting case.From: Brian Fox (snofox@citlink.net)Sat Mar 12 22:43:18 2005
Greetings Listers. I am involved in a case I would be interested in your input on. 29 y/o, G5P4, history of drug abuse in past; she does not have possession of any of her previous children; only one prenatal care visit prior to this admission; now at 18w3d, known twin gestation, dichorionic, diamnionic. She has spontaneous rupture of membranes of the leading twin. Sonogram shows 2 fetuses, one with severe oligohydramnios; the other with normal AFI. Fetal growth measurements are concordant. Both are still alive. No evidence of infection (yet); no evidence of being in labor (yet). Cervix is closed on "sterile" speculum exam. I practice in a community of 20K people, 50 bed, nursery level 1 hospital; referral hospital is 220 miles away. What would you do now?
-- Brian W. Fox, MD, FACOG 1995 Errecart Blvd., Suite 103 Elko, NV 89801
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