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Re: TwinsFrom: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU)Tue Jun 25 16:11:03 1996
The cervix dilated til 7 cm. USound, 1st baby vertix/transv. Fetal weight #1- 800 g/#2- 1200g At 24 weeks?? Why such a discrepancy ????? The second baby with Biophysic profile 5/8 with desacelerations type 2 and the first baby with biophysic profile 4/8 with desacelerations type 2 I have forgotten Type 1 & 2, but I think type 2 were late(Hyoxic) decels when we used that terminology. If so the length of time that they were occurring (24 hrs?) would have caused significant problems and probably lead to the poor outcome. You didn't tell us what the babies died of ???? Intraventricular hemorrhage, hyaline membrane disease, severe anemia from abruption ???? In our unit an 800gm baby with a decent apgar has a 65-75% survival and a 1200 gm baby even better than that. With those odds one would be pushed to deliver them if the onset of fetal distress was in the recent (10-30 min) past but not if it had been going on for 24 hours.
-- @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ R.Daniel Braun, MD FACOG "Money will buy you a fine dog, Clinical Professor but only love will make it wag Dept. OB/GYN it's tail." Indiana U. School of Medicine Richard "Kinky"Friedman Racetown @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
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