Re: 28 week PROM

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Nov 11 20:07:51 2005

If that white count is before steroids, and she's 3 cm., she'll decide for you. Continue broad spectrum antibiotics (I believe Amp and Erythromycin prolong latency) and get steroids on board, and would use tocolysis whether contracting or not unless obvious infection to get 48 hours. Did you culture for GBS pre-antibiotics?

Garry

At Fri, 11 Nov 2005, Andrew Folley wrote: >
>G1P0 28 week PROM wed am. Received steroids and on antibiotics. Cx 3 cm
>90% no ctxs.
>Echo vertex AFI 3 2#7oz Inital WBC 17000 and CRP elevated at 2.1
> No maternal fever or tachycardia. FHTs reassuring. In level III
>hospital.
>
>What to do? Sit tight and wait for obvious chorio? Induce 24 to 48 after
>Prom? andrew

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA



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