20 weeks with PPROM + previa

From: dahmd@gate.net
Mon Jul 1 15:01:59 1996


A clinical dilemma for your consideration:

A 16 year-old primigravida at 20 weeks (menstrual history and 8 week ultrasound) arrives with documented preterm premature rupture of membranes (PPROM), not in labor, and a non-bleeding complete placenta previa on ultrasound. She was given information about induction of labor versus "expectant management" and was leaning towards induction, until the ultrasound revealed the previa.

If she wanted termination for PPROM at 20 weeks, would anybody do a c/s (essentially a hysterotomy) to deliver the baby? Thanks in advance.

Ashley Hill Orlando, FL dahmd@gate.net





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