Re: "Big Brother" in L and D

From: David A. Nagey, MD, PhD, FACOG (dnagey@welchlink.welch.jhu.edu)
Tue Jan 7 18:35:16 1997


> From: Garry E. Siegel <garrys@atl.mindspring.com>
> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
> Subject: "Big Brother" in L and D
> Date: Sunday, January 05, 1997 5:58 PM
> This pregnancy, presented at 20 4/7 weeks with bulging membranes, and
> underwent a rescue cerclage (pushed the membranes back with a 30 cc
foley), > perinatal consult, etc. Presented 2 day ago contracting and bleeding,
> apparently stopped on Mag and Indocin. Last night ruptured membranes, so
I > pulled the cerclage, and gave her one 20 mg. PGE 2 supp, and she
delivered a > 447 g nonviable fetus and had a curettage after the placenta came out to
get > it all.
> What do ya'll think and do?

I involve Peds only if I think that there is any chance of survival - e.g. at 23-24 weeks if dates solid - after 20 weeks if not. Big Bro and Baby Doe have been out of the picture for YEARS! David

--
David A. Nagey, M.D., Ph.D., FACOG
Division of Maternal-Fetal Medicine
Department of Gynecology and Obstetrics
The Johns Hopkins Hospital          (410) 614-5144
600 N. Wolfe Street, Houck 204   FAX (410) 849-2742
Baltimore, Maryland 21287-1204




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