Re: Ob: Advanced dilatation/footling

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Wed Feb 28 05:11:24 2007


At Tue, 27 Feb 2007, Garry E. Siegel, M.D. wrote: >
>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?
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

She is term in three days, book the section. It never ceases to amaze me how many mom's with footling breachs or transvers lies have not be told to go to the hospital right away if thier membranes rupture.

--
                                 Take care, John




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