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Re: 36+ weeksBHC vs early labor From: David Rivera (cuurmudgeon@sbcglobal.net) Sun Jun 12 18:48:44 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Cheri Van Hoover: "Re: Out-Patient Cytotec" Previous message: David Rivera: "Re: Reality OB" In reply to: Andrew Folley: "Re: 36+ weeksBHC vs early labor" We solved this one while you were out. Andrew Folley <agfolley@hotmail.com> wrote:exhausted and frustrated. Put her in quiet room and zonk her with Morphine 15mg sub q and sleeping pill ambien 10mg po. ???andrew >From: Len2976@aol.com >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L >Subject: Re: 36+ weeksBHC vs early labor >Date: Sat, 11 Jun 2005 18:49:55 -0500 > >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 Next message: Cheri Van Hoover: "Re: Out-Patient Cytotec" Previous message: David Rivera: "Re: Reality OB" In reply to: Andrew Folley: "Re: 36+ weeksBHC vs early labor"

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