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Re: 34 week prom From: Efrain Ramirez (eramirezt@coqui.net) Fri Apr 8 13:39:10 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Gyn: Granulation post hyst" Previous message: Anna Meenan, MD: "Re: Gyn: Microinvasive Ca of Cervix" In reply to: Andrew Folley: "Re: 34 week prom" Next in thread: Efrain Ramirez: "Re: 34 week prom" Reply: Efrain Ramirez: "Re: 34 week prom" This is a gray zone - IMHO - it very much depends on your nursery - how confortable are neonatoligists dealing with prematurity - I would be inclined to give tocolysis x 48 hours, steroids (per protocol)and antibiotics - then observe closely with BPP's - reevaluate as you go along - you can change your mind afterwards and induce - but at least you gave the fetus a better chance - I think... GOOD LUCK!! Ef. >At Thu, 07 Apr 2005, Andrew Folley wrote: > >Question: Had a patient show up last night G3P2 ruptured membranes 34 weeks >1 day. 2 prior c-sections. Not in Labor. What to do? She is vertex fluid >in vault sent for f-pole showed not mature. My plan was steroids, tocolysis >for 48 hours if necessary and repeat c-section in 48 hours. >Along with GBS prophylaxis. Some of our MFMs were not so happy with the >management plan. What ywoud you do???? andy > >-- >_________________________________________________________________ > >_________________________________________________________________ -- 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~ Next message: Efrain Ramirez: "Re: Gyn: Granulation post hyst" Previous message: Anna Meenan, MD: "Re: Gyn: Microinvasive Ca of Cervix" In reply to: Andrew Folley: "Re: 34 week prom" Next in thread: Efrain Ramirez: "Re: 34 week prom" Reply: Efrain Ramirez: "Re: 34 week prom"

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