Re: PPROM at 32 weeks in twins
From: R. Daniel Braun (rd.braun@gmail.com)
Wed Aug 30 08:12:40 2006
I'm with Gary 100%. I would section
Dan
On 8/29/06, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote:
>
> 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
> >>>
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>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA
>
--
R. Daniel Braun
"The way to health is an aromatic bath and scented massage everyday".
Hippocrates
