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Re: "Big Brother" in L and DFrom: 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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