Re: Severe PIH 34 weeks

From: Andrew Folley (agfolley@hotmail.com)
Wed May 23 08:48:33 2007


You may be correct. I delayed in that she only has eleveated BP. All labs totally normal and spit urien PC ration suggested proteinuria less than 300mg for 24 hours. Amnio revealed inmaturity and steroids given. Plan to delay 48 hours for steroids to work and deliver if BP not controlled???

>From: "R. Daniel Braun" <rd.braun@gmail.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Severe PIH 34 weeks
>Date: Wed, 23 May 2007 08:25:48 -0500
>
>If the BP is that high in apatient at 34 weeks, why do you have a 24 hour
>urine? Should have been delivered in less than 24 hours. IMHO
>
>Dan
>
>On 5/23/07, Andrew Folley <agfolley@hotmail.com> wrote:
>>
>>G1Po 33 weeks 6 days admitted with BP170/110. HELLP labs all normal
>>200mg
>>potein in 24 hour urine. Echo 7#15 oz baby vertex AFI 20 Doppler
>>normal
>>MCA and UA. Tracing reactive.
>>
>>Questions: Deliver or not deliver? How to treat BP? Mg yes or no and
>>why? What other information needed? agf
>>
>>--
>>R. Daniel Braun, MD FACOG(L) CMT
>>Professor Emeritus
>>Dept. of Obstetrics and Gynecology
>>Indiana U. School of Medicine
>>
>>R. Daniel Braun
>>
>> "The way to health is an aromatic bath and scented massage
>>everyday".
>> Hippocrates

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