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Re: Premature AmniorrexisFrom: dahmd@gate.netSat Mar 23 07:35:28 1996
In article jason.gardosi@nottingham.ac.uk (Jason Gardosi) writes:
>I absolutely agree that there should be no fingers.
>I wonder what others on either side of the pool <G> do in this regard? Jason: I have never heard that a sterile speculum exam is best performed in the left lateral position. I'll try it, however. Yet another reason I enjoy this list. A false-negative amnio would give false reassurance, but I think most of these patients will go in to labor anyway if chorioamnionitis is present. I would honestly hesitate to perfrom an amniocentesis on a patient who is very premature (i.e. in the 20-29 week range) because I would be more worried about the other possibility, a false-Positive result. With a false-positive, you have data and may be tempted to act on it, thus inducing labor and delivering a very premature baby who could have stayed in longer. I will, however, perform an amnio on patients without hesitation who are in the 30-34 week range, since the overwhelming majority of these infants do well at our hospital once delivered. On the other issue being discussed during this thread of tocolysis with ruptured membranes, I am probably a victim of my training (!), and don't do it. Thanks, Ashley Hill D. Ashley Hill, M.D. Orlando, FL dahmd@gate.net
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