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Re: 20 weeks with PPROM + previaFrom: mdjacob@techunix.technion.ac.ilTue Jul 2 09:25:22 1996
At 03:02 PM 1/7/1996 -0500, you wrote: >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 > >Don't worry, you can still induce an abortion with PG, pitocin. Bleeding is usually mild and conrollable. Then, you can always perform a hysterotomy if bleeding is too heavy. Jacob
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