Re: prolonged PP fever

From: R. Daniel Braun (rd.braun@gmail.com)
Fri Aug 25 20:47:55 2006


Pre-Eclampsia

On 8/25/06, Betsy Hyde <elishyde@mindspring.com> wrote: >
> On Aug 25, 2006, at 5:39 PM, Terrence.Jones@kp.org wrote:
>
> These regional differences are always interesting. After the
> description per Mercer & Sibai (JMFM 1996, 5:355-8), and the comparitive
> trial per Cunningham (AJOG 1999, 181:143-8), Our MFM's actually discourage
> heparin, in absence of thrombus on imaging.
>
> The heparin was discouraged/delayed because we were told there was no good
> evidence that it helps if the dx is spt, and that time to defervesence does
> not vary based on use/nonuse of heparin if there was spt. This,
> apparently, was from the Cunningham Study.
>
> Drs. Magann & Martin (Hypertens Pregnancy 2004, 23:121-7)
> demonstrated, as You have in this case, that the premorbid state does not
> always include variables associated with infection. Chorio was present in
> only 13% of SPT; in their 9 year series of 55 postpartum Pts. Instead, the
> condition may be more of an aberrant endothelial response (Pre-E present in
> 45%). Did Your Patient have any stigmata (of Pre-E)?
>
> I don't know what the stimata of Pre-E (or even what Pre-E is....ok, I'll
> 'fess up) are, and either don't know/can't remember her labor course.
> Sorry.
>
> \Betsy Hyde CNM
> Branford, CT
>

--
R. Daniel Braun

"The way to health is an aromatic bath and scented massage everyday". Hippocrates





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