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Re: Post dates pregnancy From: Andrew Folley (agfolley@hotmail.com) Sat Mar 31 10:47:21 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post dates pregnancy" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post dates pregnancy" In reply to: fbassani@brmc.com: "Post dates pregnancy" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post dates pregnancy" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post dates pregnancy" The no-brainer response is to deliver the patient. When the information is studied however, we find that neither the mom nor the baby shows any sign of being in trouble and thus no need for intervention at this time. A reactive NST even with stimulation etc is very reliable as opposed to the soft findings of "decreased fetal movement" . >From: fbassani@brmc.com >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Post dates pregnancy >Date: Sat, 31 Mar 2007 09:28:10 -0500 > >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 > Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post dates pregnancy" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post dates pregnancy" In reply to: fbassani@brmc.com: "Post dates pregnancy" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post dates pregnancy" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post dates pregnancy"

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