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Re: Preterm PROMFrom: David Rivera (dean@thehuffpeople.net)Mon Jun 13 13:55:47 2005
.. I saw an interesting case a number of years ago. A physician (an OB/GYN, by the way) had PROM about 24 weeks of pregnancy. She remaind in the hospital for about two weeks and then threatened to sign out AMA, so her OB decided to let her go home. She remained at home on bed rest for a while, then ultimately went back to work on a part-time basis. She leaked amniotic fluid the whole time and had a very low AFI. Ultimately she delivered a healthy infant at term. No respiratory problems. The exact same thing happened with her second pregnancy. Again, she delivered a healthy term infant without respiratory problems. At this point, she decided to have her tubes tied. - - - - Date: Wed, 8 Jun 2005 21:00:39 -0500 Reply-To: ob-gyn-l@obgyn.net Originator: ob-gyn-l Sender: ob-gyn-l@obgyn.net From: "Andrew Folley" <agfolley@hotmail.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Subject: Re: Preterm PROM X-Comment: Obstetrics & Gynecology for MEDICAL PROFESSIONALS ONLY X-Virus-Scanned: by amavisd-new at postoffice.omnis.com X-Spam-Status: No, hits=1.1 tagged_above=0.0 required=5.0 tests=SARE_TOCC_COMBO1 X-Spam-Level: * X-ELNK-AV: 0 Is anyone sending home PPROM and following as an outpt.??? We have always kept them in house in toledo. Lately if the fluid is good (>5) and vertex without obvious chorio I have been making an argument for going home with temps twice a day and office visits nsts afi twice a week etc. Also I have been more aggressive about doing amnios on PPROMs to rule out occult chorio with gram stain, white blood cells, glucose etc. any thoughts on this??? andrew
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