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Re: 20 weeks with PPROM + previaFrom: fuf@gulf.netMon Jul 1 23:06:52 1996
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. > I would recommend induction with either misoprostol 100 to 200 mg vaginally every 6 hrs or use high-dose oxytocin as is used in the U.A.B. protocol( I dont have the reference at home with me).Once the placenta separates, labor will progress rapidly, in most cases. As a third alternative, I would consider a D&E under ultrasound guidance if experienced in the procedure. High leaks will occasionally seal off. Is the amniotic fluid decreased? Followup would be most interesting. Gary Gary E. Kleinman, MD Perinatologist/Geneticist University of FL/Pensacola 5045 Carpenter Creek Drive Pensacola, FL 32503 904 484-9400
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