Re: 31 weeks toxemia/twins

From: RModugno@aol.com
Mon Oct 31 15:19:14 2005


Andrew Folley wrote:

>
> 22 YO BF 31week 5 days. Admitted levell !!! hopital with BP 150 over
> 90s. Twin gestation di/di. 2+ edema, "toxic" appearance. Platelets
> 168000 and lfts normal coags normal etc. AFIs are 6 and 3 cm
> respectively. Babies good on Biophysical provfile and normal doppler
> flows. 24 hour urine shows 3500 mg of protein and cr. clearance
> 122cc/min. Vertex / transverse cervix 50% closed.
> Mom constipated, slight nausean no headache or visual problems.
>
> Who wants to delever and by what mode? Who wants to wait watch and
> treat (how) and what is endoint for your taking steps toward
> delivery??? andrew
>

Time to give them to the neonatologist after she's had her steroids - probably by section.

Robert Modugno MD MBA FACOG Marietta, GA





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