Re: Ob: Advanced dilatation/footling

From: R. Daniel Braun (rd.braun@gmail.com)
Wed Feb 28 14:35:25 2007


Off to the "Horsepistol" for surgery. Dan

On 2/28/07, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote: >
> Joe and Dan:
>
> 140-ish/85 to 90-ish from the first visit.
>
> If it is not chronic, what is it? The BP started this ball rolling, but
> the real issue is when to do the section.
>
> I posted this to "test the waters" about how urgent listers felt the
> section was--ranging from John, who is ready to admit her, to Joe and
> Dan, who did not specify as of yet.
>
> Let me add more. It is 5 PM when I am seeing her, and her husband is in
> Houston, TX.
>
> What's next?
>
> Garry
>
> At Wed, 28 Feb 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
> wrote:
> >
> >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
> >
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA
>

--
R. Daniel Braun, MD  FACOG(L)  CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"The way to health is an aromatic bath and scented massage everyday". Hippocrates





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