-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: What's next From: Charles Bloom (cdsb@bellsouth.net) Thu Apr 24 06:09:21 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charles Bloom: "Re: What's next" Previous message: Laureano Folgar: "Re: What's next" In reply to: Garry E. Siegel, M.D.: "Re: What's next" Next in thread: Andrew Folley: "Re: What's next" Reply: Andrew Folley: "Re: What's next" Reply: Joe Cutchin: "Re: What's next" I don't give steroids after 34 weeks either. And Garry is right, the baby isn't thriving, it's small. But if the fetus were say 30 weeks with IUGR, but with Reactive NST and 8/8 BPP, then I think there wouldn't be such a rush to delivery. So the real question here I think is given an IUGR fetus with perfect testing, what is the EGA we would electively deliver? Everyone may have a different answer. Here is an example of there being 10 different ways to do something in medicine and nine of them not being wrong. Charles -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Wednesday, April 23, 2008 10:47 PM To: Multiple recipients of list OB-GYN-L Subject: 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: Charles Bloom: "Re: What's next" Previous message: Laureano Folgar: "Re: What's next" In reply to: Garry E. Siegel, M.D.: "Re: What's next" Next in thread: Andrew Folley: "Re: What's next" Reply: Andrew Folley: "Re: What's next" Reply: Joe Cutchin: "Re: What's next"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:49:14 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.