Re: What would you do, new case

From: Robert J Woolley (wooll005@gold.tc.umn.edu)
Fri Jan 10 16:43:49 1997


On Fri, 10 Jan 1997, Garry E. Siegel wrote:

> *******the answer follows, followed by the original posting****************
>
> Thanks for all the advice. I have followed this woman biweekly with a
> stable BP of 140/90, no symptoms, 1+ protein, stable weight, etc. Today, at
> 39 5/7, her cervix is 1.5 cm (fingertip)/50%/-2/soft/mid. I plan to place
> PGE2 supps, 4 mg. (these are great, BTW) on Sunday, 1/12, and induce Monday,
> 1/13 at 40 1/7 weeks. Baseline lab is to be repeated on admission.
>
> Assuming the BP is stable, and labs normal, what do ya'll think about
> seizure prophylaxis? Is in necessary? If so, what agent do you use and how
> do you give it?

If you are not diagnosing her as haveing pre-eclampsia, then don't *treat* her as if she had pre-eclampsis. If you are, then do. (But it sounds like you shouldn't.) The decision to treat is 100% dependent on the presence or absence of the diagnosis.





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