Re: Monamnionic Twins

From: Efrain Ramirez (eramirezt@coqui.net)
Wed Mar 23 04:34:20 2005


Hospital - daily NST...how "good" is your nursery? 34 seems Ok with me..unlees there are fetal/maternal indications for earlier delivery.

>At Tue, 22 Mar 2005, Garry E. Siegel, M.D. wrote:
>
>High neonatal morbidity and mortality, if memory serves.
>
>24/7 monitoring laudable but may drive the patient/staff crazy.
>
>Steroids--I would give.
>
>Keep in house.
>
>Deliver at 32 weeks.
>
>Do you have MFMs?
>
>Garry
>
>At Tue, 22 Mar 2005, Andrew wrote:
>>
>>29 weeks G2P1 twins MONO/MONO. 15% growth discodance. Vertex Vertex.
>>Watch in hospital or at home? Optimum time for delivery? 32 34 36 weeks?
>>Vaginal or C-section? Monitor how... NSTs dopplers? US? Currently I am
>>opting for hosptialization with 24/7 monitoring and c-section at 32
>>weeks with US for growth monitoring. Thanks Andrew
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
 I think I will do nothing for a long time but listen,
 And accrue what I hear into myself...and let sounds
 contribute toward me.

~walt whitman~





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