Re: 23 weeks prom
From: Andrew Folley (agfolley@hotmail.com)
Mon Feb 19 18:33:37 2007
IV antibiotics on admission for 5 days then stop. Generally they recommend
Ampicillin. Steroids at 24 weeks one series.
>From: evsono@pipeline.com (art fougner, md)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: 23 weeks prom
>Date: Mon, 19 Feb 2007 08:33:59 -0600
>
>Andrew
>
>What are your friendly local MFM's recommending? Just curious.
>
>Art
>
>At Sun, 18 Feb 2007, Garry E. Siegel, M.D. wrote:
> >
> >Let's assume good dates. . .
> >
> >You really could argue for making no intervention and sending home until
> >24w0d, but that seems so close.
> >
> >If she were 24w0d, she would get steroids, and IV Ampi/Erythromycin to
> >prolong latency, and go a GBS culture first.
> >
> >I agree that there likely is no "right" answer here; I would discuss at
> >length, and probably lean towards antibiotics now, and steroids starting
> >at 24w0d. I would also lobby for no C/S under 24w0d.
> >
> >Let us know what you do and how it goes.
> >
> >Garry
> >
> >At Sun, 18 Feb 2007, Andrew Folley wrote:
> >>
> >>G1P0 23 wk 1 day prom Would you give antibiotics? Which one(s) IV or
>PO
> >>and how long 3, 5, 7 days etc. Keep in hospital how long?? 72 hrs 1
> >>week, 2 weeks?? Until 34 weeks? Give steroids now or wait till 24
>weeks?
> >>I do not think there is any "right" evidence based answers on this.
>Just
> >>looking to get a feel for what we are all doing. andy
> >>
> >>>From: eramirezt@coqui.net (Efrain Ramirez)
> >>>Reply-To: ob-gyn-l@obgyn.net
> >>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> >>>Subject: Re: mirena and irregular bleeding
> >>>Date: Sun, 18 Feb 2007 00:34:28 -0600
> >>>
> >>>Oc's, Ponstel, do Gc/Chlamydia cultures.. can use as, Andy says,
> >>>Premarin..but I prefer Oc's
> >>>
> >>>Ef
> >>>
> >>>At Sat, 17 Feb 2007, Andrew Folley wrote:
> >>> >
> >>> >possibly atrophic, consider 6 weeks of unopposed estrogen (ie
>premarin
> >>> >0.625) see if the spotting stops. agf
> >>> >
> >>> >>From: "Elrod, Darryl G Maj 48 MDOS/SGOBO"
> >>><Darryl.elrod@LAKENHEATH.AF.MIL>
> >>> >>Reply-To: ob-gyn-l@obgyn.net
> >>> >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> >>> >>Subject: mirena and irregular bleeding
> >>> >>Date: Sat, 17 Feb 2007 09:30:02 -0600
> >>> >>
> >>> >>Anyone have any suggestions for persistent spotting 6 months after
> >>> >>Mirena insertion?
> >>> >>
> >>> >>Thanks
> >>> >>
> >>> >>Glen
> >>> >>
> >>> >>//SIGNED//
> >>> >>
> >>> >>D. Glen Elrod, Maj., USAF, MC
> >>> >>
> >>> >>Obstetrician/Gynecologist
> >>> >>
> >>> >>Chief of Obstetrics
> >>> >>
> >>> >>48 MDOS/SGOBO
> >>> >>
> >>> >>RAF Lakenheath, England
> >>> >>
> >>> >>Telephone DSN: 314-226-8130
> >>> >>
> >>> >> Comm: +44 (0) 1638 52 8130
> >>> >>
> >>> >>Notice of Confidentiality
> >>> >>Under the Privacy Act of 1974, you must safeguard all information
> >>> >>reflected on this e-mail and, if applicable, all attachments.
> >>> >>Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131,
>AFI
> >>> >>37-132, AFI 33-219, and PL 93-579"
> >>> >>This e-mail message including any attachments is for the sole use of
>the
> >>> >>intended recipient(s) and may contain confidential and privileged
> >>> >>information. Any unauthorized review, use, disclosure or
>distribution is
> >>> >>prohibited. If you are not the intended recipient, please contact
>the
> >>> >>sender by reply e-mail and destroy all copies of the original
>message.
> >>> >>Any questions pertaining to disclosure should be directed to the
>privacy
> >>> >>officer.
> >>> >>
> >>> >pro
> >>> >
> >>> >_________________________________________________________________
> >>> >Refi Now: Rates near 39yr lows! $430,000 Mortgage for $1,399/mo -
> >>> >_________________________________________________________________
> >>> >_________________________________________________________________
> >>> >_________________________________________________________________
> >>>Calculate
> >>> >
> >>> >--
> >>> >_________________________________________________________________
> >>> >new payment
> >>> >_________________________________________________________________
> >>> >_________________________________________________________________
> >>> >_________________________________________________________________
> >>>
> >http://www.lowermybills.com/lre/index.jsp?sourceid=lmb-9632-17727&moid=7581
> >>> >
> >>>
> >>>--
> >>>“ The greatest obstacle to knowledge is not ignorance,
> >>>it is the illusion of knowledge.” Daniel J. Boorstin - Historian
> >>
> >>_________________________________________________________________
> >>Play Flexicon: the crossword game that feeds your brain. PLAY now for
> >>_________________________________________________________________
>FREE.
> >>_________________________________________________________________
> >>
> >>_________________________________________________________________
> >>--
> >>_________________________________________________________________
> >> http://zone.msn.com/en/flexicon/default.htm?icid=flexicon_hmtagline
> >>_________________________________________________________________
> >>_________________________________________________________________
> >>
> >--
> >Garry E. Siegel, M.D.
> >Private Practice
> >Roswell, GA
> >
>
>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
_________________________________________________________________
With tax season right around the corner, make sure to follow these few
--
_________________________________________________________________
simple tips.
http://articles.moneycentral.msn.com/Taxes/PreparationTips/PreparationTips.aspx?icid=HMFebtagline
