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Re: PPROM at 32 weeks in twins From: Garry E. Siegel, M.D. (garrys@mindspring.com) Tue Aug 29 21:45:04 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: zygote@icsi.net: "Re: Houston" Previous message: Garry E. Siegel, M.D.: "Re: OB:  What would you do" In reply to: Andrew Folley: "Re: PPROM at 32 weeks in twins" Next in thread: R. Daniel Braun: "Re: PPROM at 32 weeks in twins" Reply: R. Daniel Braun: "Re: PPROM at 32 weeks in twins" 32+ weeks, steroids on board, DiMo twins with early TTTS. Deliver. Garry At Tue, 29 Aug 2006, Andrew Folley wrote: > >34 weeks and after with prom deliver. less than 32 wait. 32-34 is grey >zone. She has recieved steroids which is wonderful. You could make an >argument for giving antibiotics and following CRP and WBC and waiting to >deliver at 34 weeks. On the other hand if the first baby is breech I would >problably deliver by csection now rather than risk a prolapsed cord. andrew > >>From: Joe <forcep@intercom.net> >>Reply-To: ob-gyn-l@obgyn.net >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >>Subject: Re: PPROM at 32 weeks in twins >>Date: Tue, 29 Aug 2006 07:12:42 -0500 >> >>To the nursery now via CS. Joe C >> >>Diana Saari MD wrote: >> >>>21 yo cauc G1 P0 at 32+3, well-controlled A-1 GDM, mono/di twins with >>>evolving TTTS, PPROM A. vtx/vtx; 3lbs/3.75 lbs; AFI 3cm/10cm deepest >>>pkt before rupture. Something must have been afoot before this, because >>>she thankfully got steroids about 48hours prior to rupture (not my >>>patient then). >>> >>>Would you: >>>Deliver? If so, how? >>>Give abx and sit? How long would you sit? >>>Send AF pool for FLM and do something based on the results? >>> >>>Didn't agree with my MFM on this one, and believe that the literature >>>backs me up. >>> >>>-- >>>Diana Saari MD FACOG >>>guto0002@tc.umn.edu >>>University Specialists in Women's Health >>>Minneapolis, MN >>> > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: zygote@icsi.net: "Re: Houston" Previous message: Garry E. Siegel, M.D.: "Re: OB:  What would you do" In reply to: Andrew Folley: "Re: PPROM at 32 weeks in twins" Next in thread: R. Daniel Braun: "Re: PPROM at 32 weeks in twins" Reply: R. Daniel Braun: "Re: PPROM at 32 weeks in twins"

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