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Re: Ob: Advanced dilatation/footling From: R. Daniel Braun (rd.braun@gmail.com) Wed Feb 28 14:38:33 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Myer Bornstein: "Re: Ob: Advanced dilatation/footling" Previous message: R. Daniel Braun: "Re: Ob: Advanced dilatation/footling" In reply to: Barbara Nicol: "Re: Ob: Advanced dilatation/footling" Next in thread: Raymond Stephen: "Re: Advanced dilatation/footling" Most common cause of hydramnios is Idiopathic. I bet that Garry ahs a neg Glucose screen on herchart from 28 weeks. Dan On 2/28/07, Barbara Nicol <blnicol@ix.netcom.com> wrote: > > Why is her AFI 28? I'd like to get her delivered the same night - indeed, > I think you have little choice with the bulging bag and 100% effacement - > but I'm wondering now about undiagnosed GDM to match the undiagnosed chronic > HTN, and pulmonary immaturity. Wouldn't wait for the partner to arrive > from out of state - stuff happens sometimes. I think, however, the chances > for this child are better in the nursery. > > Did you consider doing an ECV in the OR prior to doing the incision? If > you succeed, you've prevented a CS, and if you cause ROM, you're right > there, ready to get the baby out quickly. With such a generous AFI, > success is possible. Of course, the patient's obesity means that ECV may > be technically difficult, and you may not have wanted to try for that > reason. > > Interested to find out the result... > > - Barb Nicol, M.D. > > San Francisco > -- 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 Next message: Myer Bornstein: "Re: Ob: Advanced dilatation/footling" Previous message: R. Daniel Braun: "Re: Ob: Advanced dilatation/footling" In reply to: Barbara Nicol: "Re: Ob: Advanced dilatation/footling" Next in thread: Raymond Stephen: "Re: Advanced dilatation/footling"

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