Re: Deliver now or later

From: DoctorJoe@aol.com
Sat Jun 27 21:15:40 2009


In a message dated 6/27/09 3:49:22 PM, 4obgyn@gmail.com writes:

> 33 yo G1 P0 presented @ 25 4/7 weeks EGA after a witness seizure at
> work.  Brought in by ambulance and seized again in ER.  BP 220/160.  No
> significant past medical history.  Husband did say she had headaches for one week
> and swelling for two weeks.  Also was hit by a dodge ball on her forehead
> three days before presentation.  She was last seen by her ob two weeks ago
> when it was uneventful.  She had a negative CT of the head prior to being
> released from the ER to L&D.   Baby's heart beat now in normal range.  Cervix
> closed, firm, uneffaced.  Cephalic presentation by ultrasound.  MgSO4 given
> in ER, BP gradually responding to Hydralazine and Labetolol.  No
> coagulation abnormalities.  I am wondering how many of you folks will deliver her
> right away, or how many will give her steroids and wait?  Thanks in advance
> for you input.
>

What were her early pregnancy or pre-pregnancy blood pressures?

Is she sizeÚtes right now with good fluid, normal placenta, etc.?

Joe P.

=http://www.freecreditreport.com/pm/default.aspx?sc=668072&hmpgIDb& bcd=JuneExcfooterNO62)





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