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Re: OligohydramniosFrom: ainsron (ainsron@sbcglobal.net)Tue Nov 6 17:36:50 2007
If he really believes she has undiagnosed PROM, why doesn't he recommend amnio - check maturity and also place indigo carmine dye to definitely diagnose ROM? Any elevation of WBC or fever? Any tachycardia? Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Kaplan Sent: Tuesday, November 06, 2007 4:03 PM To: Multiple recipients of list OB-GYN-L Subject: Oligohydramnios 22 y.o. black female at 32-33 weeks has AFI(Aminiotic Fluid Index) of 2.5 on office ultrasound. Fetal growth at 50%ile, biophysical profile 6/8 (decreased amniotic fluid), NST reactive. Admitted for course of steroids, IV hydration, and continuous fetal monitoring. MFM(Maternal Fetal Medicine) consultent repeats ultrasound after 48 hours and finds AFI of 5. He opines that there is occult PPROM (Preterm Premature Rupture of Membranes) and suggests antibiotics and delivery at 34 weeks. Pt. is scheduled for induction tomorrow (34 weeks). NST and BPP still normal, AFI stable at 5, and no evidence of ROM (other than decreased AFI). Is she being over treated? Richard Kaplan, MD
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