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Re: 36+ weeksBHC vs early labor From: Joanne Bulley, MD (islesannie@yahoo.com) Sat Jun 11 20:21:06 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Postdates was Reality OB" Previous message: R. Daniel Braun: "Re: MgSO4 questions" In reply to: Len2976@aol.com: "Re: 36+ weeksBHC vs early labor" Next in thread: David Rivera: "Re: 36+ weeksBHC vs early labor" Reply: David Rivera: "Re: 36+ weeksBHC vs early labor" It was really hard for me to be patient with these folks -- after my first pregnancy - where I had contracted since 23 weeks - working the whole time- then had the false labor for three nights (still working with naps here and there throughout the day! They would whine and ask "how long are you going to let this go on?" I'd say things like Mother nature picks her own time -- or the baby picks its own time ... or some other thing. I would bite my toungue (well ... except I think once I told the patient my story and she quit whining - she got to sit around all day - didn't have to decide whether she'd go to work or anything like that). I wouldn't ARM or induce at 36+4. Joanne At Sat, 11 Jun 2005, Len2976@aol.com wrote: > >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 -- Joanne Bulley, MD Keene, NH, USA Next message: R. Daniel Braun: "Re: Postdates was Reality OB" Previous message: R. Daniel Braun: "Re: MgSO4 questions" In reply to: Len2976@aol.com: "Re: 36+ weeksBHC vs early labor" Next in thread: David Rivera: "Re: 36+ weeksBHC vs early labor" Reply: David Rivera: "Re: 36+ weeksBHC vs early labor"

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