Re: Twins absent end diastolic flow

From: R. Daniel Braun (rd.braun@gmail.com)
Sun Sep 30 09:10:27 2007


Deliver. Dan

On 9/29/07, Andrew Folley <agfolley@hotmail.com> wrote: >
> 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 -0500
> ------------------------------
> From: AllanHo@aol.com
> To: ob-gyn-l@dns.obgyn.net
> Subject: 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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--
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





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