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Re: Post dates pregnancy From: Joe (forcep@intercom.net) Sat Mar 31 14:24:03 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Post dates pregnancy" Previous message: R. Daniel Braun: "Re: Post dates pregnancy" In reply to: fbassani@brmc.com: "Post dates pregnancy" Enjoy your vacation. I am curious - where do you practice? Joe C 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 > Next message: Richard Chudacoff, MD: "Re: Post dates pregnancy" Previous message: R. Daniel Braun: "Re: Post dates pregnancy" In reply to: fbassani@brmc.com: "Post dates pregnancy"

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