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2nd 3rd trimester bleedingFrom: sohi@italob.fmed.uba.arThu May 16 12:28:05 1996
I would like to hear your ideas, suggestions, and opinions about one case. The patient is a 34 yo W.F. G4 P3. Her obstetrical history outside our institution is the following: G1: PAb, G2 twin pregnancy with PROM at 28 Wk. GE and premature delivery at 29 W with 2 neonatal death. G3 single gestation pretem delivery at 30 Wk. with neonatal death (unknown cause). She was studied for reproductive failure: normal cariotipe, ICI negative, no uterine malformations, cervical cultures negative. She is now pregnant from another couple; she began at 23 wk. (by US) with bleeding, and uterine activity, posterior placenta not praevia, without abruption signs at US. Normal bleeding tests Cervical cultures negative Treatment was bed rest, ritodrine and progesterone, and empirically roxitromicin a week. She was discharged after a week with an intermittent scarce bleeding and without UA. Readmitted at 28 Wk. with a moderate bleeding, UA, treatment was indomethacin, and bed rest. She started fetal pulmonary maturation protocol (12 mg bethametasone IM 2 doses, and TRH 200ug IV 2 doses) A recent US showed no abruption signs, adequate growth, an diminished AF. Today 29.4 Wk., an US showed fetal growth for 27.4 Wk., oligoamnios, and a Doppler flow monitoring IR Umb 0.56,IR cerebral 0.89, IR aortic 0.41. Dr. Ernesto Torassa
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