Re: 36+ weeksBHC vs early labor

From: rmodugno@aol.com
Sun Jun 12 09:05:05 2005


Lenora herself said that the next morning she might have been in labor or the "false labor" contractions would have stopped - however, they may just continue. So let's say she is "in labor" the next day, I see no difference in augmenting a 36+ weeker the day before.

The chances of a 36 and 4/7 weeker having an "invasive respiratory problem" is pretty slim, and I would have discussed the option/risks with patient/significant other before taking action.

Robert Modugno MD MBA FACOG Marietta, GA

-----Original Message----- From: Efrain Ramirez <eramirezt@coqui.net> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Sun, 12 Jun 2005 08:26:59 -0500 Subject: Re: 36+ weeksBHC vs early labor

David: RDS at 36 weeks nowadays is not a big problem ? unless combined with other stuff like GBS ? but I agree with Garry ? it would not be ?prudent?, to say the least, to electively induce at 36.

Saludos

Ef

>At Sun, 12 Jun 2005, David Rivera wrote:
>
>How often have you seen a 36 weeker in NICU? What would you do if she arrived
in labor at the same gestation? Again, we didn't get torqued about 35 weekers until you youngsters started getting queasy over anyone under 38 weeks. >
>DAR
>
>"Garry E. Siegel, M.D." <garrys@mindspring.com> wrote:
>Robert:
>
>How can you justify your actions? How could you defend things if the
>baby went into NICU and required invasive treatment due to prematurity?
>
>Garry
>
>>Put her out of your misery - pitocin/AROM
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, GA
>
>--
>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~





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Jul 2 04:40:17 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.