Re: 20 weeks with PPROM + previa

From: DoctorJoe@aol.com
Tue Jul 2 07:59:12 1996


<<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.>>

1) How "bad" is the PROM? Is there any fluid left in the amniotic cavity, or is there basically none?

2) If there is no fluid, are you sure there's a previa? Sometimes they are difficult to see when you have a collapsed uterine cavity from oligohydramnios. On the other hand, if there is still fluid left, do you think you have a "high leak" that might be able to be expectantly managed?

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doctorjoe@aol.com "All things are connected. Joseph Pastorek, MD Some things are just more Department of OB-GYN connected than others." LSU Medical Center - Dirk Gently New Orleans, LA ("The Big Easy") U.S.A.

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