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Re: A case From: rbraun@indyunix.iupui.edu Mon Dec 2 11:57:20 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rbraun@indyunix.iupui.edu: "Re: fetal heart" Previous message: DoctorJoe@aol.com: "Re: McDonald stitches" In reply to: Sing-Hung Chang: "A case" Next in thread: Robert J Woolley: "Re: A case" Reply: Robert J Woolley: "Re: A case" Can you give me one good reason why not? If you don't induce her, you need to keep her on a monitor continuously until she is delivered. Every thing bad that could happen during an induction could happen to her at home without benefit of medical care to diagnose and treat what ever happens.(like severe cord compression and fetal death in utero.) @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ R. Daniel Braun, MD FACOG "Money will buy you a fine dog Clinical Professor OB/GYN but only love will make it Indiana University School of Medicine wag its tail" Indianapolis, IN Richard "Kinky" OBGYN.net, International Rep. U.S. Friedman Kinky Friedman for President @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ On Sun, 1 Dec 1996, Sing-Hung Chang 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: rbraun@indyunix.iupui.edu: "Re: fetal heart" Previous message: DoctorJoe@aol.com: "Re: McDonald stitches" In reply to: Sing-Hung Chang: "A case" Next in thread: Robert J Woolley: "Re: A case" Reply: Robert J Woolley: "Re: A case"

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