Re: Twins absent end diastolic flow

From: Andrew Folley (agfolley@hotmail.com)
Sat Sep 29 15:33:25 2007


G1P0 31 weeks Di/Di twins. Discordant growth. Pt hospitalized. A is 4# B is 2.5#. Doppler good on A. but absent end diastolic flow on B. Fluid good in both babies. Received celestone 1:00 PM yesterday and again today. NST on both reactive. Good ductus venosu flow in B. No centralization yet in B (ie UA s/d=3.3 and MCA s/d = 3.5

Deliver on wait?

Date: Sat, 29 Sep 2007 12:33:45 -0500From: AllanHo@aol.comTo: ob-gyn-l@dns.obgyn.netSubject: Re: Fetal cooling with amni-infusion.

Interesting idea, but - How do you know if you are not over chilling the fetus? Would you be using continues infusion or bolus? Would over extending the uterus be a problem?

Allan Pennsylvania

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