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Re: What's nextFrom: Andrew Folley (agfolley@hotmail.com)Thu Apr 24 08:04:06 2008
I must have missed how the diagnosis of IUGR was made?agf> Date: Thu, 24 Apr 2008 06:11:49 -0500> From: cdsb@bellsouth.net> To: ob-gyn-l@mail.obgyn.net> Subject: 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.. recomm h 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> _________________________________________________________________ Make i'm yours.=A0 Create a custom banner to support your cause. _________________________________________________________________ http://im.live.com/Messenger/IM/Contribute/Default.aspx?source=TXT_TAGHM_MSN_Make_IM_Yours
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