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Re: Interesting case From: David McCoubrey (mccd@glen-net.ca) Tue Apr 16 21:38:37 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Peter V. Weston, M.D.: "Re: Interesting case" Previous message: VladimirT@aol.com: "OB-CNM Collaborative Practices" Maybe in reply to: R. Daniel Braun: "Interesting case" Next in thread: Peter V. Weston, M.D.: "Re: Interesting case" >The following patient presented to us this week. > >a 19 y/o G1P0 at 29 weeks by a sono done in the ER at 9 weeks when >Cervix is 1 Cm. and 50% effaced. > >How would you manage from this point ? > The indication for delivery is obvious. The question is by what means.... Either you section her under MgSO4 prophylaxis(bolus plus maintenance) now or induce labour in the absence of fetal distress( with MgSO4 prophylaxis). The problem is that you already have impending liver damage. Do you really have 9 or more hours to induce labour and safely deliver? I think not. Preeclampsia is a disease of mother and immediate delivery with seizure prophylaxis removes the uteroplacental unit and hopefully limits the damage already done. Thanks. Dr. David R. McCoubrey mccd@glen-net.ca Next message: Peter V. Weston, M.D.: "Re: Interesting case" Previous message: VladimirT@aol.com: "OB-CNM Collaborative Practices" Maybe in reply to: R. Daniel Braun: "Interesting case" Next in thread: Peter V. Weston, M.D.: "Re: Interesting case"

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