Re: 34 week prom

From: Efrain Ramirez (eramirezt@coqui.net)
Sat Apr 9 11:48:23 2005


I have to stress that we must look the nursery's statistics - a 34 weeker with known lung immaturity...

>At Fri, 8 Apr 2005, Garry E. Siegel, M.D. wrote:
>
>Agree. Lynn makes a convincing case for same.
>
>The big picture is that 34 week babies do about as well as term ones.
>Thus, why take the risk of infection when the risk of prematurity is
>minimal.
>
>Garry
>
>At Fri, 08 Apr 2005, Andrew Folley wrote:
>>
>>They were more inlcined as Charlie was. Secton immediately, no steroids, no
>>tocolytics. andy
>>>From: "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
>>>Reply-To: ob-gyn-l@obgyn.net
>>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>>Subject: RE: 34 week prom Date: Thu, 7 Apr 2005 12:20:30 -0500
>>>
>>>What did the MFMs want you to do? In one of my intuitions they want them
>>>delivered at 34 weeks
>>>
>>>Richard Chudacoff, MD
>>>
>>>-----Original Message-----
>>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew
>>>Folley
>>>Sent: Thursday, April 07, 2005 11:16 AM
>>>To: Multiple recipients of list OB-GYN-L
>>>Subject: RE: 34 week prom
>>>
>>>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
>>>
>>> >
>>>
>>>_________________________________________________________________
>>>_________________________________________________________________
>>>_________________________________________________________________
>>>
>>_________________________________________________________________
>>
>>_________________________________________________________________
>>--
>>_________________________________________________________________
>>
>>_________________________________________________________________
>>_________________________________________________________________
>
>--
>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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