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Re: What's next From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Apr 23 21:46:08 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Co-management" Previous message: R. Daniel Braun: "Re: Spontaneous rupture of symphysis pubis" In reply to: Efrain Ramirez: "Re: What's next" Next in thread: Charles Bloom: "Re: What's next" Reply: Charles Bloom: "Re: What's next" Over 34 weeks--no steroids unless amnio done and lung maturity not proven. Yes, the late preterm baby alluded to in ACOG's Committe Bulletin has more morbidity, etc., but this baby is far from thriving inside. Reassuring testing is nice, but nicer is a baby in the nursery. Deliver her, my friend. Garry At Wed, 23 Apr 2008, Efrain Ramirez wrote: > >No fetal weight gain at all in the last 2 weeks.. umbilical artery >doppler normal.. MCA not done.. mother perceives fewer FM's.. just >like the other pregnancy. >Definitive asymmetric IUGR. >Level III NICU .. I had to deliver in the last year to babies at 26 >weeks .. doing well.. >Steroids? – it’s a Democratic Primary.. >Legally speaking an unexpected IUFD would be hard to defend... NICU >complications, IMHO, easier. >Thanks to all.. recommendations well taken… > >Ef > >At Wed, 23 Apr 2008, art fougner, md wrote: >> >>Middle cerebral artery doppler? Uterine artery doppler? >>If all normal, would suggest (unencumbered by data) twice weekly nst's >>with AFI's, weekly dopplers and elective delivery at term. >> >>Art >> >>Just my opinion. I could be wrong. >> >>At Wed, 23 Apr 2008, 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 >>> >>-- >>art fougner, md >>"May The Wings of Liberty Never Lose a Feather." - Jack Burton >> >-- >"I can accept failure, but I can't accept not trying." - Michael Jordan > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Re: Co-management" Previous message: R. Daniel Braun: "Re: Spontaneous rupture of symphysis pubis" In reply to: Efrain Ramirez: "Re: What's next" Next in thread: Charles Bloom: "Re: What's next" Reply: Charles Bloom: "Re: What's next"

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