Re: What's next

From: Laureano Folgar (lfolgar@vianwe.com)
Thu Apr 24 06:08:20 2008


As Dan said, that is the late preterms we are talking about. The "state or art" is an hemodynamic strictly follow up till term or suspected foetal compromised. The "litigation fear recommendation" is cs now. So, is "litigation fear recommendation" a good reason as ACOG recommended?. I´m not familiarized with US laws, but a well informed consent clearly reported in the clinical history, does not avoid a litigation?.

L. Folgar.

Efrain Ramirez escribió: > 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
>





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