Re: active tracing with decell

From: Andrew Folley (agfolley@hotmail.com)
Mon Dec 24 13:34:36 2007


Note: As a FYI follow up the traditional NST is 20 minutes and if nonreactive, stimulation indicated, if it still remains nonreactive it is ok to do "extended" NST for total time of 90 minutes at that point according to Garite, if it has not become reactive, it will not become reactive.

Date: Sat, 22 Dec 2007 09:11:11 -0600From: rd.braun@gmail.comTo: ob-gyn-l@dns.obgyn.netSubject: Re: active tracing with decellThat is called continuous monitoring. There is no such thing as a prolonged NST.Dan On Dec 21, 2007 3:40 PM, Efrain Ramirez <eramirezt@coqui.net > wrote: Agree - no "scientific" sense - problem is that you are dealing with the patient, mom - etc ... doing a "prolonged " NST - will harm no one-Ef > At Wed, 19 Dec 2007, R. Daniel Braun wrote:>
>Ef,>That makes no sense. NST's and CST' detect UPI or more often absence >thereof. We aren't dealing with that when you have 3 minute decels to 90.>Dan
>>On Dec 19, 2007 6:23 AM, Efrain Ramirez <eramirezt@coqui.net > 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>>>--
>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>--

"I can accept failure, but I can't accept not trying." - Michael Jordan-- R. Daniel Braun, MD FACOG(L) CMTProfessor EmeritusDept. of Obstetrics and GynecologyIndiana U. School of MedicineR. Daniel Braun "Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941 _________________________________________________________________ Don't get caught with egg on your face. Play Chicktionary! _________________________________________________________________ http://club.live.com/chicktionary.aspx?icid=chick_wlhmtextlink1_dec





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