Re: 16 wks, twins, chorioamnionitis

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Sun Apr 30 22:53:02 2006


What is the organism involved in her PV discharge? Steve

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of

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________________________________
Ricardo Francalacci Savaris
Sent: Monday, 1 May 2006 11:32 AM
To: Multiple recipients of list OB-GYN-L
Subject: 16 wks, twins, chorioamnionitis

Dear all. Here is the case, 26 years-old, gesta6, para4, 16 wks, twins di/di, she has an intense vaginal discharge (purulent) since april 27th. She is under ampicilin+clindamycin+gentamicin since april 27th, normal WBC, no fever, normal AFI. This is a planned pregnancy. Today baby 1 is dead, AFI is low, and pPROM is confirmed. Baby 2 still fine. Labs are with normal limits, and she is clinically OK, no uterine contraction. Cervix is 1cm dilated.

I decided to keep her at the hospital, under surveillance, with antibiotics. I would like to hear from you.

Ricardo Savaris, MD





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