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Re: What's next From: Richard D. Kaplan (rkaplan@triad.rr.com) Wed Apr 23 12:53:54 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: What's next" Previous message: R. Daniel Braun: "Re: What's next" Maybe in reply to: Efrain Ramirez: "What's next" Next in thread: Andrew Folley: "Re: Spontaneous rupture of symphysis pubis" Reply: Andrew Folley: "Re: Spontaneous rupture of symphysis pubis" I tend to agree with those who would follow the pregnancy with ante partum fetal testing. I would think that the risk of fetal demise with normal umbilical cord dopler studies, reactive NST, and 8/8 biophysical profile must be less than 1/3000. What is the risk to the 34 weeker in the NICU? There is of course the medical legal risk which is 100% if you leave the baby in and something goes wrong versus <1% if you deliver at 34 weeks and something goes wrong in the NICU. Richard Kaplan > ----- Original Message ----- From: Andrew Folley To: Multiple recipients of list OB-GYN-L Sent: Wednesday, April 23, 2008 1:06 PM Subject: RE: What's next Not necessary to be aggressive at this point. How about following dopplers 2x per week. (very accurate for IUGR) If no oligohydramnios allow pregnancy to continue. No need or indication for steroids at this point. Also important to know if baby has fallen off growth curve or is this just a baby that is constitutionally small??? > Date: Wed, 23 Apr 2008 06:42:10 -0500 > From: forcep@intercom.net > To: ob-gyn-l@mail.obgyn.net > Subject: Re: What's next > > Steroids then CS. Joe C > > Efrain Ramirez wrote: > > > 30 some G2, P1 – previous C/S – IUGR – at 36 weeks – apparently no > > reassuring FHR’s…2 weeks at NICU.. at present 34 w and 5 d.. BPP > > 10/10, EFW – 1500-1600 below 5th.. normal umbilical Doppler .. what’s > > next? > > > > Ef > > > > -- > > "I can accept failure, but I can't accept not trying." - Michael Jordan > > > ------------------------------------------------------------------------------ ------------------------------------------------------------------------- In a rush? Get real-time answers with Windows Live Messenger. -- ------------------------------------------------------------------------- Next message: art fougner, md: "Re: What's next" Previous message: R. Daniel Braun: "Re: What's next" Maybe in reply to: Efrain Ramirez: "What's next" Next in thread: Andrew Folley: "Re: Spontaneous rupture of symphysis pubis" Reply: Andrew Folley: "Re: Spontaneous rupture of symphysis pubis"

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