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Re: Interesting case. From: DoctorJoe@aol.com Sun Mar 13 20:25:50 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: D. Ashley Hill: "Re: Ultrasound as part of the normal exam" Previous message: DoctorJoe@aol.com: "Re: Ultrasound as part of the normal exam" Maybe in reply to: Brian Fox: "Interesting case." Next in thread: DoctorJoe@aol.com: "Re: Interesting case." In a message dated 3/13/05 8:48:44 PM, garrys@mindspring.com writes: > How about offerring termination to avoid maternal illness (sepsis)? > > I absolutely would discuss the prognosis with expectant management, and > offer that versus termination.  There doesn't seem to be much reason to > transfer anytime soon. > > Sometimes, expectant management for a few days is best to allow time to > pass.  A clear answer may come to the patient, or, sometimes the > situation declares itself. > Some WOULD offer TOP as "therapy" for the mother. Practically speaking, most of the cases I've seen have resolved with a few days of waiting. When the uterus starts to contract and the WBC rises (or the temperature), then "chorioamnionitis" is the diagnosis and the STANDARD therapy for that is delivery. Then everyone is "happy" (as far as you can be in this situation) and no rules are broken (even the Pope's, if you happen to be in a Catholic institution). Joe P. Next message: D. Ashley Hill: "Re: Ultrasound as part of the normal exam" Previous message: DoctorJoe@aol.com: "Re: Ultrasound as part of the normal exam" Maybe in reply to: Brian Fox: "Interesting case." Next in thread: DoctorJoe@aol.com: "Re: Interesting case."

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