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RE: Ob:  Advanced dilatation/footling From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Wed Feb 28 02:15:57 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Ob:  Advanced dilatation/footling" Previous message: Dr Eberhard Lisse: "Re: Cost of antenatal testing" In reply to: DoctorJoe@aol.com: "Re: Ob:  Advanced dilatation/footling" Next in thread: Henry Gregor: "Re: Ob:  Advanced dilatation/footling" Reply: Henry Gregor: "Re: Ob:  Advanced dilatation/footling" If you go strictly by the any BP over 140/90 prior to 20 wks gestation, we have a fair number of chronic hypertensives in our small population. Anyone else making the diagnosis of gestational hypertension more and more? I don't know if its a name looking for a disease of if it is something that 8 years ago we simply thought it wasn't preeclampsia and it wasn't chronic hypertension so we didn't need to do anything about it, or if it is truly something to be treated aggressively. 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. ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of = -- ________________________________ DoctorJoe@aol.com Sent: Wednesday, February 28, 2007 4:20 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Ob: Advanced dilatation/footling In a message dated 2/27/07 9:34:44 PM, garrys@mindspring.com writes: 26 YO P0000 at 36w4d, good dates. Today, had BP 145/90--reviewing prenatals, probably is a chronic hypertensive, never diagnosed, as opposed to PIH. Due to BP, I contemplated lab/BPP/bedrest/admission?/deivery, so I checked her cervix. No PIH symptoms, edema 2+, no proteinuria or excessive gain (she is 250#, give or take). She as 4/100%/bulging bag/footling. BPP 8/8, AFI 28. What's next? A footling breech should be easy to deliver thru the C/S incision. You really think a 26 year old is a "chronic hypertensive?" Joe P. "Chuck Norris' roundhouse kick is so powerful, it can be seen from outer space by the naked eye." Next message: Efrain Ramirez: "Re: Ob:  Advanced dilatation/footling" Previous message: Dr Eberhard Lisse: "Re: Cost of antenatal testing" In reply to: DoctorJoe@aol.com: "Re: Ob:  Advanced dilatation/footling" Next in thread: Henry Gregor: "Re: Ob:  Advanced dilatation/footling" Reply: Henry Gregor: "Re: Ob:  Advanced dilatation/footling"

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