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Re: BPP 2 and reassuring tracingFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Wed Apr 22 12:44:42 2009
At Wed, 22 Apr 2009, Andrew Folley wrote: > >Let me turn the tables and pose this question: Same patient of Johns sent over from office > >with decreased fetal movement and BPP of 2. Does she get immediatec-section? What if she is put on monitor awaiting the c-section and the tracing is "reactive" ie category I? > >what do you do?? > I had a similar case refered from the midwives post term multip but was at 3cm did an AROM and applied a scalp electrode good tracing until started pushing in the second stage and turned into abnormal or category III 20 minutes into second stage direct op did a forecps rotation cord artery PH 7.15. Baby and Mom did fine, they wanted to know why I assumed care, answer BPP was 2/8 and presentation was OP, what happens if baby goes south and doesn't turn, nothing wrong with hoping for the best but being prepared for the worst.
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Take care, John
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