What would ya'll do, new case
From: Garry E. Siegel (garrys@atl.mindspring.com)
Tue Jan 7 21:03:44 1997
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Opinions from the learned readers please, especially MFMs like Lynn and David:
28 YO Para 0, EDC 2/2/97, today 36 3/7 weeks (excellent dating)
1. Twins--Breech #1, Transvers #2
2. Rh Negative
3. Class A1 Diabetes, well controlled
4. s/p rescue cerclage (by MFM)at 19 weeks for membranes funneling in the
cervial canal on scan. It is still in place.
This 5 foot, 2 inch woman weighed 110 pounds before pregnancy, and now is
about 187 pounds. She has been gaining around 7 pounds between her twice
weekly visits, has no protein, massive pretibial edema, normal BPs. Today,
her exam is remarkable for generalized swelling, a fundal height of 54 cm.
The babies presentations are verified by today's MFM scan, and the EFWs are
both 6 pounds. Baby B has increased fluid now. Her skin, especially the
abdominal skin, is quite oedematous (oops on the spelling).
This woman is only comfortable sitting up, kind of semi reclining, and isn't
sleeping at night. While she isn't complaining, she looks like hell.
As Karl Malden used to say on the Amex commercials, "What will you do? What
will you do?"
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