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Re: 36+ weeksBHC vs early laborFrom: Len2976@aol.comSat Jun 11 18:48:14 2005
23 y/o G3, P1011 with EDC 7/5/05 (36 4/7 weeks) presents with UCs q 1-2 min. Pt. describes them as at least "an 8" on a 1-10 pain scale--she's huffing and puffing with them. She had been on Procardia 10 mg qid for PTL which was D/Cd on Thursday (36 weeks). Cx 2-3 cms/thick/Vtx -3 with no change after 4 hours. FHTs are 120-130's, reassuring. Patient and husband asking for AROM (which I refused) or IOL (which I also felt was not indicated). She refused terbutaline which the nurse had ssuggested/discussed with her prior to my arrival which I also do not feel is appropriate at 36+ weeks. U/A is normal, SG 1.1015, urine tox screen negative. She has tried resting, walking, and showering. I did both P.O. and IV hydration and even a trial of IV stadol without any change in the UC pattern. Any thoughts/comments/suggestions?? Lenora McCall, CNM
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