Re: Deliver now or later

From: ortizjl@prtc.net
Sat Jun 27 22:19:08 2009


Conservative Tx ever ------Original Message------ From: AllanSender: ob-gyn-l@obgyn.net To: Multiple recipients of list OB-GYN-L ReplyTo: ob-gyn-l@obgyn.net Subject: Deliver now or later Sent: Jun 27, 2009 4:49 PM

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.   Allan

Sent from my BlackBerry® smartphone from Centennial.





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