Re: 2nd trimester fetal demise

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Wed Jun 28 18:43:58 2006


Not so fast el - the placenta is no longer functioning and she is less than halfway through the 2nd trimester. What alternative are you proposing? If you are talking of a hysterotomy you will soon be able to afford your own Porsche with golf bags if you do that for all your 2nd trimester fetal demises!

Steve

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr Eberhard Lisse Sent: Thursday, 29 June 2006 5:53 AM To: Multiple recipients of list OB-GYN-L Subject: Re: 2nd trimester fetal demise

Induce a Placenta Previa?

Please load the Golf bag into the Porsche and let me have the keys and the registration, you will not be needing them any longer.

on 6/28/06 8:42 PM Dr. Ainsworth said the following: > I have a patient who is a surrogate mom - donor egg and sperm from the

> biological parents, now at 20wks with a fetal demise that probably
> occurred one week ago. She has a complete previa. If she wants to
> terminate the pregnancy, would you do a D&E with laminaria or try
> cytotec? At this point, she is showing no signs of labor and does not
> want to continue the pregnancy. If you used cytotec, what dose -
> 200mcg, 400mcg, 800mcg q6h? Would you try a low dose and work up?
> Would you do it as an inpatient with blood available, or as an
> outpatient until you begin getting some response?

el

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