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Re: How to induce??Whether to induce??From: Colin H Prendergast [Obstetrics/Gynaecology] (c.prendergast@ic.ac.uk)Wed Jun 19 04:51:56 1996
>We have a G4P3LC2 at 37 weeks. First baby was IUGR/IUFD at term. >Current pregnancy had oligo diagnosed at approx 34 >weeks. AFI ranges from 3-8. Currently 8. EFW 2400g @ 37 weeks. > Before persisting with attempted induction, for as long as you already have, I'd sure like to know a lot more about the fetal condition. With EFW < 10th centile and oligohydramnios, what about the umbilical arterial dopplers? Personally I would also like to look at the fetal dopplers (middle cerebral / thoracic aorta / and IVC) and a computerised CTG. If these were abnormal, the risk of intrapartum CS would be so high as to warrant elective abdominal delivery in my view. Colin Prendergast MB BCh BAO Obstetric Research Fellow St Mary's Hospital Paddington London UK
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