Re: Dr. Siegel re: pre eclamptic patient

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Thu Mar 8 14:46:29 2007


As up to 30 % of eclampsia occurs postpartum I keep checking on progress until all is normal, so yes, re-do platelets until they are >150K.

Steve

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From: ob-gyn-l@obgyn.net on behalf of Garry E. Siegel, M.D.

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Sent: Thu 8/03/2007 11:38 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Dr. Siegel re: pre eclamptic patient

This has been a great thread.

Andrew, give me a break. Malpresentation IS an indication for a section, even if the second twin.

Dan, I am happy to be included among those with missing and gray hair. Those characteristics taint both favorably and unfavorably that which we all do. I have been trained in, and am comfortable with, vaginal breech deliveries and forceps, including low forceps with rotations (Dr. Kielland is among my favorite Ob innovators). The circumstances under which I offer or perform those procedures have, by necessity, changed over the almost 21 years of practice.

Her platelets went from 153K preop to 98K the next morning when her AM CBC was done.

So. . .in a mild pre-eclamptic with normal admission labs (SGOT 24 [normal to 30]), Hct. 35, platelets 154K--do you check them again postop?

Garry

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