Re: A case

From: David A. Nagey (dnagey@welchlink.welch.jhu.edu)
Mon Dec 2 23:17:05 1996


At 02:11 PM 12/1/96 -0600, you wrote: >17 y/o, primigravida, 41 3/7 wks,

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.
>Question: Is amnioinfusion + labor induction absolutely indicated in this
>setting? Why or why not?

I think induction is indicated before some disaster befalls this baby - but I would withold amnioinfusion until deep variable in labor became a problem - and they might not.

David

--
David A. Nagey, MD, PhD, FACOG
Division of Maternal-Fetal Medicine
Department of Gynecology and Obstetrics		telephone: (888) 800-8150
The Johns Hopkins Hospital			FAX: (410) 849-2742
600 N. Wolfe Street, Houck 204
Baltimore, MD 21287-1204		email: dnagey@welchlink.welch.jhu.edu




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