Re: active tracing with decell
From: art fougner, md (evsono@pipeline.com)
Wed Dec 19 13:39:14 2007
That's what's usually done in Plaintiff-friendly NY, Dan. Extended
monitoring in either L&D or nearby AP Testing Lab.
If cord compression is suspected, I'm not sure either the OB or the
fetus could tolerate much more "masterful inactivity."
Art
At Wed, 19 Dec 2007, R. Daniel Braun wrote:
>
>IOW, continuous monitoring for a short time is what you are advocating.
>I concur with that except that it should happen in an area with a rapid 15
>min or less decision to del time and continue until delivery is chosen. If
>you don't do that, you shouldn't do anything. IMHO
>
>Dan
>
>On Dec 19, 2007 3:12 PM, art fougner, md <evsono@pipeline.com> wrote:
>
>> Dan
>>
>> It ain't science but it has pushed some off the fence.
>>
>> Art
>>
>> At Wed, 19 Dec 2007, R. Daniel Braun wrote:
>> >
>> >Please explain why a CST would be helpful?
>> >
>> >On Dec 19, 2007 12:34 PM, art fougner, md <evsono@pipeline.com> wrote:
>> >
>> >> This may be one of the few situations in which a CST may be helpful ...
>> >> Or simply continue monitoring for a few hrs. If repetitive variable
>> >> decelerations are noted, cord compression must be suspected and
>> delivery
>> >> would seem appropriate - even at 34 wks.
>> >>
>> >> Art
>> >>
>> >> At Wed, 19 Dec 2007, Efrain Ramirez wrote:
>> >> >
>> >> >Spontaneous deceleration with good AF - cord accident - I would not
>> >> >deliver - do prolonged NST - maybe CST..think steroids - ..
>> >> >
>> >> >Ef
>> >> >
>> >> >>NSTAt Tue, 18 Dec 2007, Andrew Folley wrote:
>> >> >>
>> >> >>Need Input from group
>> >> >>
>> >> >>34 weeks G1P0 NST done for GDMa2 on glyburide and euglcyemic. NST
>> >> reactiv but during course of the test , spontaneous acute decell
>> occurs to
>> >> 90 bbm lasting 3 minutes with acute return to baseline. Continued
>> >> observation on onitor and decell occurs again lasting 2 minutes down
>> to 90.
>> >> I scanned pt and afi 12 baby with good tone movement etc. What to do
>> now
>> >> and how to fo low? other tests? etc thanks agf>
>> >> >
>> >> >--
>> >> >"I can accept failure, but I can't accept not trying." - Michael
>> Jordan
>> >> >
>> >>
>> >> --
>> >> art fougner, md
>> >> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>> >>
>> >--
>> >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
>> >
>>
>> --
>> art fougner, md
>> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>>
>--
>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
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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