-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: Total Previa From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au) Sun Dec 28 21:01:10 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Gyrus/Ligasure" Previous message: Raymond Stephen: "Re: Gyrus/Ligasure" Maybe in reply to: Efrain Ramirez: "Total Previa" Next in thread: R. Daniel Braun: "Re: Total Previa" Reply: R. Daniel Braun: "Re: Total Previa" For what it is worth, I am in agreement with you Efrain. If there is no further bleeding then there is no indication to deliver. This means that you either wait until the fetus is mature - i.e. close to 39 (38 would work for me), or you section her at the next episode of bleeding unless it is very minor. There is some evidence these days that a repeat course of steroids is of value if it is more than two weeks since the last one. Steve ________________________________ From: ob-gyn-l@obgyn.net on behalf of Efrain Ramirez -- ________________________________ Sent: Mon 29/12/2008 2:26 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Total Previa No..no bleeding -- partner wants to give another shot of steroids, do amnio at 35, if mature C/S - I favor no amnio and do elective C/S at 36-37, if there is another episode of bleeding then do C/S - I would not argue against another shot of steroids. Ef At Sun, 28 Dec 2008, DoctorJoe@aol.com wrote: > >In a message dated 12/28/08 7:49:53 PM, eramirezt@coqui.net writes: > >> 20 some years old GI, total placenta previa with 4 episodes of bleeding >> - hospitalized at 28 weeks, corticosteroids given at that time, >> currently 34 2/7 weeks..next steps, when, why? >> >Currently bleeding? > >I think we had this discussion recently, at least to some extent. > >Get her as far as you can and do an elective C-section with informed consent >for a hyst, if necessary. (So it's very important to get a good baby this >time.) > >Joe P. > >icid=aolcom40vanity&ncid=emlcntaolcom00000025) -- "I can accept failure, but I can't accept not trying." - Michael Jordan CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: Richard Chudacoff, MD: "Re: Gyrus/Ligasure" Previous message: Raymond Stephen: "Re: Gyrus/Ligasure" Maybe in reply to: Efrain Ramirez: "Total Previa" Next in thread: R. Daniel Braun: "Re: Total Previa" Reply: R. Daniel Braun: "Re: Total Previa"

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: Mon Nov 2 05:13:46 2009

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.