-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Post dates pregnancy From: Garry E. Siegel, M.D. (garrys@mindspring.com) Sat Mar 31 08:33:44 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: fbassani@brmc.com: "Re: Post dates pregnancy" Previous message: fbassani@brmc.com: "Post dates pregnancy" In reply to: fbassani@brmc.com: "Post dates pregnancy" Next in thread: fbassani@brmc.com: "Re: Post dates pregnancy" Reply: fbassani@brmc.com: "Re: Post dates pregnancy" Deliver her. Offer ripening with induction, realizing it really may not work due to an unfavorable cervix and/or possible lack of fetal well-being. It also would be very reasonable to section her without a trial of labor. While it is unlikely something is wrong, as you said, why wait for the roof to fall in? Garry At Sat, 31 Mar 2007, fbassani@brmc.com wrote: > >Question: > >how would any of you manage the following case; > >A 23 yo Primagravida at 40 weeks and 3 days, with excellent 1st >trimester dating sonography, presents to the office complaining of >decreased fetal movement. >Cervical exam at that time is closed high, and unengaged, balottable, >yet vertex. >NST shows two late decelerations at first that respond to position >change. A vibroacustic stimulator is used and a reactive NST is >obtained. > BPP was 8/10 prior to reactive nst. > >My patient was sent home with continued expectant management, by a locum >physician. I contend that "hat are we waiting for?" We have a >primagravida with Post dates, questionable antenatal testing, decreased >fetal movement, unengaged head at term, and the need for vibroacustic >stimulation to obtain a reactive tracing. Does the roof need to fall in >on someone to tell them to get out? > I would love some comments and/or thoughts on this. >I am on vacation, and the patient is still pregnant! > Dr Bassani PA -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: fbassani@brmc.com: "Re: Post dates pregnancy" Previous message: fbassani@brmc.com: "Post dates pregnancy" In reply to: fbassani@brmc.com: "Post dates pregnancy" Next in thread: fbassani@brmc.com: "Re: Post dates pregnancy" Reply: fbassani@brmc.com: "Re: Post dates pregnancy"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:06:30 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.