Re: A case

From: John Robertson (jgmr@unixg.ubc.ca)
Mon Dec 2 09:35:18 1996


I realize I am splitting hairs, but there is a difference between post dates and post term. Post dates means over 40 weeks completed gestation, post term means over 42 weeks completed gestation. If you read the Multicentre Trial on Induction vs Monitoring of patients over 41 weeks (I used to call it the Canadian study until someone pointed out that there were other international sites involved), the recommendations are for induction of ALL patients over 41 weeks.

J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C., Canada, V2P 3M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894)

--
----------
> From: Robert J. Woolley <wooll005@gold.tc.umn.edu>
> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
> Subject: Re: A case
> Date: Sunday, December 01, 1996 9:51 PM
>
> In message <199612020114.RAA02880@Chico.pinsight.com>  writes:
> > 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
>
> "Postdates" implies 42 weeks or more. How do you conclude that a patient
at 41
> 3/7 weeks is "postdates"?
>
---------------------------------------------------------------------------
> 
---------------------------------------------------------------------------
> 
---------------------------------------------------------------------------
> Bob Woolley
> St. Paul, Minnesota
>
> "Two vast things, each wondrous in itself, contribute to make this book a

> prodigy--the author's industry and her ignorance. Once can only be so > intricately wrong by deep study and long effort.... The result has an eerie > perfection, as if all the world's greatest builders had agreed to rear, with > infinite skill, the world's ugliest building." > > --Garry Wills, on Fawn Brodie's psychobiography of Thomas Jefferson >





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:20:18 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.