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Re: A case From: Justin Ainsworth (skibum@pinsight.com) Sun Dec 1 19:08:13 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Guttenberg Primo: "Feliz Natal - Merry Christmas" Previous message: Sharon Dore x5969: "Re: Vitamins in Pregnancy" Maybe in reply to: Sing-Hung Chang: "A case" Next in thread: pauleun@MEM.po.com: "Re: A case" You have a postdates patient with decreased AFI and favorable cervix, she needs to be delivered ASAP. I would rupture membranes and do direct fetal monitoring and consider amnioinfusion, especially if meconium present. You have nothing to gain and everything to lose by delaying delivery at this point. Ron Ainsworth <ainsron@mem.po.com> Paradise, CA At 02:09 PM 12/1/96 -0600, you wrote: >17 y/o, primigravida, 41 3/7 wks, adequate prenatal care, came to the >hospital claiming 3 days of absent fetal movements. She had only slight >irregular uterine contractions, no history of watery discharge. Her >examination revealed: FH 35 cm, elevated uterine tone, FHR 152 bpm on >Doppler, with desaccelerations (down to 60 bpm). Upon admission, a NST was >reactive, adequate variability, showing some cord compression pattern, but >without any real desacceleration on a 30-minute recording. The US revealed >severe oligohydramnios (AFI = 2.0), BPP=4/6. EFW = 3600 g. >Her cervical conditions were 3 cm dilated, 70% effaced. Vertex, station - >2, intact membranes. The pelvis was clinically assessed as adequate for >vaginal delivery. > >Question: Is amnioinfusion + labor induction absolutely indicated in this >setting? Why or why not? > >Thanks for your opinions. > >Sing-Hung Chang, MD >Resident > Next message: Guttenberg Primo: "Feliz Natal - Merry Christmas" Previous message: Sharon Dore x5969: "Re: Vitamins in Pregnancy" Maybe in reply to: Sing-Hung Chang: "A case" Next in thread: pauleun@MEM.po.com: "Re: A case"

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