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Re: Fetal cooling with amni-infusion. From: R. Daniel Braun (rd.braun@gmail.com) Sat Sep 29 15:08:32 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Daniel Tsin: "Re: Transvaginal" Previous message: rmodugno@aol.com: "Re: Fetal cooling with amni-infusion." In reply to: rmodugno@aol.com: "Re: Fetal cooling with amni-infusion." Next in thread: Andrew Folley: "Re: Fetal cooling with amni-infusion." For the record, there have been multiple studies done showing that in the usual circumstances; i.e. No fever: there is no difference in fetal temperature whether you use room temperature or warmed Saline. Wenstrom et al OB-G 1995; 86:572 in a survey found that 1.1 % of 22,000 amnioinfusions were done for Chorioamnionitis. 78% were done with warmed salin & 22% with room temp. saline Glantz & Letteny OB-G 1996; 87: 150 found no significant difference in outcomes with warmed or room temp. This was a metanalysis of 14 studies with at least 40 subjects in each study. The above were gleaned from my last PowerPoint presentation on amnioinfusion for our G.R. in 1999. Dan On 9/29/07, rmodugno@aol.com <rmodugno@aol.com> wrote: > > John, your concern is noted! The mother was on triple anti-biotics. Her > temp was 101.4F. The baby's heart rate "normalized" with the > amnio-infusion and the baby had good Apgars. I would have given the mother > an anti-pyretic to bring down the core temperature. My eyebrows were > certainly raised when my partner told me about this manuver. > > Robert Modugno MD MBA FACOG > Sylva, NC > > -----Original Message----- > From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. < > johnprov@sympatico.ca> > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > Sent: Sat, 29 Sep 2007 2:31 pm > Subject: Re: Fetal cooling with amni-infusion. > > At Sat, 29 Sep 2007, rmodugno@aol.com wrote: > > > > > >My partner had a patient with chorio-amnionitis, febrile, maternal and > > >fetal tachycardia.Was on triple antibiotics. Put in an amnio-infusion > > >with room-temp saline and the fetal tachycardia resolved. > > > > > >Thought this was kind of an interesting approach to "fetal cooling". > > > > > >Comments? > > > > > >Robert Modugno MD MBA FACOG > > >Sylva, NC > > >________________________________________________________________________ > > >________________________________________________________________________ > >Email and AIM finally together. You've gotta check out free AOL Mail! - > > >________________________________________________________________________ > > >________________________________________________________________________ > >http://mail.aol.com > > Fever is one of the most important, reproducible and usefull clinical > signs why would I be stupid enough to try and mask it, if someone in > labor gets a fever greater tham 38.5 I start broad spectrum antibiotics > . Feal cooling, I am sure the neonatologists will be happy with an > infected cool baby. > > -- > Take care, John > > ! > -- R. Daniel Braun, MD FACOG(L) CMT Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine R. Daniel Braun "Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941 Next message: Daniel Tsin: "Re: Transvaginal" Previous message: rmodugno@aol.com: "Re: Fetal cooling with amni-infusion." In reply to: rmodugno@aol.com: "Re: Fetal cooling with amni-infusion." Next in thread: Andrew Folley: "Re: Fetal cooling with amni-infusion."

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