Re: Anhydramnion

From: Dr Eberhard Lisse (el@lisse.NA)
Wed Feb 8 22:51:28 2006


Ashley,

on 2/9/06 6:48 AM D. Ashley Hill said the following: > At Thu, 09 Feb 2006, Dr Eberhard Lisse wrote:
>
>>Just go the FBC by email, WCC is raising to 15.2 from 13.6...
>
> How long ago were the steroids?

Yesterday and today.

>>Why stop tocolytics (if all else was looking well)? I know that they
>>might not work, but would they hurt? (If I could lay my hands on them?)
>
> Potential side effects from tocolytic therapy (pulmonary edema, etc). If
> they don't work, why take a chance?

If they work?

>>Why monitor a 26 weeker (in a setting where it would not survive outside)?
>
> My ethnocentricity is showing. Our neonatology service is pretty
> agressive with 26 weekers. We have 6 neonatologists and a 70-something
> bed NICU and all the support services. Unless otherwise indicated, we
> would go all out for a 26 weeker.

Yes indeed, we wouldif we could...

>>BTW, why induce this one and not deliver from above?
>
> Is she breech? If not, no contraindication to vaginal delivery (other
> than sometimes not being able to induce someone at 26 weeks). There was
> an article recently (in O&G ?) about cesareans for premature babies and
> I think it showed increased survival for those babies undergoing
> section. I'll have to pull the article.

She actually *IS* breech.

el





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