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Re: Reactive tracing with decell From: Robert J. Carpenter, Jr. MD, JD (zygote@icsi.net) Mon Dec 24 13:37:30 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Carpenter, Jr. MD, JD: "Re: Reactive tracing with decell" Previous message: Andrew Folley: "Re: active tracing with decell" In reply to: Richard Chudacoff: "Re: Reactive tracing with decell" Next in thread: Robert J. Carpenter, Jr. MD, JD: "Re: Reactive tracing with decell" Yes, Steroids can be used at any point if you believe the benefits on lung, gut, brain endothelial function is worth while. There is NO data that says it should not be done. The reason for no data is the great statistical difficulty of setting up a program (especially now) where RDS would be an endpoint when the numbers needed are hugh. After the Australian/NZ repetitive steroid trial, there should be no fear of a single dose of steroids if one is properly following your pt with A2 DM. Unless one is willing to maintain patient on continuous EFM in house, there Richard is correct delivery. However, I follow the later is better and for babies such as described here, I monitor. Enjoy the holidays regardless of faith or lack thereof. Bob > > Steroids in the 34th week? Isn™t that too late? > > Richard Chudacoff, MD, FACOG > > I would watch herin house, consult MFM and consider delivery options. I would give steroids, and consider intervention 24-48 hours later if repetitive decels don't make you pull the trigger sooner. > > Douglas Krell MD > -- Robert J. Carpenter, Jr. MD, JD 6624 Fannin, #2720 Houston, TX 77030 (O) 713-795-4600 (F) 713-795-4422 "Life is difficult" The Road Less Travelled by Scott Peck Next message: Robert J. Carpenter, Jr. MD, JD: "Re: Reactive tracing with decell" Previous message: Andrew Folley: "Re: active tracing with decell" In reply to: Richard Chudacoff: "Re: Reactive tracing with decell" Next in thread: Robert J. Carpenter, Jr. MD, JD: "Re: Reactive tracing with decell"

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