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Re: Ob: Chronic Hypertension From: R. Daniel Braun (rd.braun@gmail.com) Sat Dec 22 08:18:50 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: OT:35-Year-Old Woman Tasered In Front Of Customers At Best Buy" Previous message: R. Daniel Braun: "Re: active tracing with decell" In reply to: Garry E. Siegel, M.D.: "Ob: Chronic Hypertension" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Ob: Chronic Hypertension" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Ob: Chronic Hypertension" Reply: rmodugno@aol.com: "Re: Ob: Chronic Hypertension" Obvious Premium Preg. (I know they all are, but she is less likely to have another chance) ERGO: Bird in Hand rule. Deliver by C/S now. (Head at -2 station in a 35 Y/O nullipara. Forget induction) If she says no because she wants the touchy feely of a vaginal delivery, have her sign an informed refusal showing that you tried. Dan On Dec 21, 2007 11:03 PM, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote: > 35 YO P0 at 39w3d, seen by our CNMs primarily > Donor sperm, IUI by choice (female partner) > > No diagnosis ever made of chronic hypertension, but she says that she > runs 140/90, and in prenatal visits since 26 weeks in our practice has > BP's 135 to 150/85 to 90. > > Two weeks ago, placed on Aldoment 250 BID by one partner. > > Today saw once CNM for a routine visit, asymptomatic, but 138/90 and > sent to L and D for NST and blood work (not sure why, but I wasn't > involved in the decision). > > BP 140/90 or so in L and D, NST reactive, EFW 2850g, cervix > 1.5/50/soft/-2/posterior. > > Creatinine 0.6, Platelets 170K, Hematocrit 36, SGOT 34 (upper normal > 33). > > What is your diagnosis? > > What is your plan of action? > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA > -- 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: DoctorJoe@aol.com: "Re: OT:35-Year-Old Woman Tasered In Front Of Customers At Best Buy" Previous message: R. Daniel Braun: "Re: active tracing with decell" In reply to: Garry E. Siegel, M.D.: "Ob: Chronic Hypertension" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Ob: Chronic Hypertension" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Ob: Chronic Hypertension" Reply: rmodugno@aol.com: "Re: Ob: Chronic Hypertension"

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