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Re: opinion on pprom with 17 weeksFrom: ladyhyg1@bellsouth.netSat Oct 29 19:17:10 2005
PLEASE DO NOT SEND ME ANY EMAILS! IAM NOT A MEDICAL PROFESIONAL! REMOVE MY EMAIL LISTING > > From: evsono@pipeline.com (art fougner, md) > Date: 2005/10/29 Sat PM 08:10:18 EDT > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > Subject: Re: opinion on pprom with 17 weeks > > Anna, > > I've had the same anecdotal experience. Perhaps a re-evaluation of AF > Volume a week after ROM ( circumstances permitting) might suggest which > patients might achieve sufficient latency. Of course, I've also seen a > case whose latency ended tragically at 24 wks with clinical > chorioamnionitis, a Cesarean for Fetal Distress, and long term > morbidity. It's a Hobson's choice to be sure. > > Art > > At Sat, 29 Oct 2005, Anna Meenan, MD wrote: > > > >I have cared for one pprom at 17 weeks that went to term and resulted in > >a healthy baby. Mom would not allow any interventions and said "Leave > >it in God's hands." Of course, pt needs to be informed of risk of > >infection, amniotic bands, etc. etc. if she decides to try to carry to > >term. > > > >-- > > Anna Meenan, MD > > > >At Sat, 29 Oct 2005, Peter Wein wrote: > >> > >>You need to discuss outcome with patient - it can be better thatn > >>previously thought, but still realistically max chance of survival 20%. > >> > >>-- > >>Peter Wein > >> > >>Ricardo Savaris wrote: > >> > >>>Dear all, > >>> > >>>We normally induce with misoprostol pregnancies under 20 wks, when there is > >>>rupture of membranes, even if the baby is alive. > >>>I would like to know your management. Do you induce in most of the cases, or > >>>not? if not, when does it happen? > >>> > >>>Thank you all > >>> > >>>Ricardo > >>> > >>>-- > >>>No virus found in this outgoing message. > >>>Checked by AVG Free Edition. > >>>Version: 7.1.361 / Virus Database: 267.12.5/149 - Release Date: 25/10/2005 > >>> > > -- > art fougner, md > > "I knew I was going to take the wrong train, so I left early." > Lawrence Peter Berra >
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