Re: Ob: Preeclampsia

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Tue Mar 6 18:21:10 2007


35w4d

Vertex #1, Breech #2

To L and D:

Hematocrit, SGOT, platelets all fine. BP max 150/95, 2+ protein on hospital u/a.

I posted to discuss HOW to deliver; to me, it was clear that she needed delivery (sorry, whoever suggested bedrest) at this gestational age and obvious mild pre-eclampsia. What would be gained by delaying delivery?

I discussed C/S versus induction and recommended a C/S--done at later that day, and all is well.

Garry

At Tue, 6 Mar 2007, DoctorJoe@aol.com wrote: >
>In a message dated 3/5/2007 9:16:17 P.M. Central Standard Time,
>garrys@mindspring.com writes:
>
>24 YO P0000 at 35w4d, V/Br concordant twins.
>
>On a routine visit today, BP 150/95 times several, 4 pound weight gain,
>1+ voided protein, DTR 2+, edema 2+, cervix 1.5/50/-2. Baseline BPs 100
>to 110/60 to 70.
>
>What's next?
>
>Isn't 36 weeks "term" for twins? And isn't C/S the route of choice,
>generally speaking, for twins? And isn't hypertension/proteinuria/edema ... well, you
>get the idea.
>
>Joe P.
>
>"Chuck Norris doesn't have proteinuria. His urine IS protein -- of high
>quality with essential amino acids."
>

>http://www.aol.com.

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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