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Re: What would you do, new case From: Robert J. Woolley (wooll005@gold.tc.umn.edu) Sat Jan 11 02:17:05 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Mark Perloe: "invitation to join professional discussion on surrogacy" Previous message: Dr Eberhard W Lisse: "Re: I have an idea" Maybe in reply to: Garry E. Siegel: "What would you do, new case" Next in thread: Garry E. Siegel: "Re: What would you do, new case" In message <1.5.4.32.19970111035718.00758fa4@pop.atl.mindspring.com> writes: > > >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. > > > > Bob: > > In the previous discussion about this case, most of agreed by our actions > (followup as described that was remarkable similar among the listers) that > she was either a mild preeclamptic, or, at least was abnormal enough to be > treated like one who had an unfavorable cervix and thus was being followed. > Now that her cervix is decent, and she is term, I think the downside of > induction is much lower, and that it outweighs the patient risk, downtime, > cost of followup, etc. In essence, she has been "sat on" for 2 weeks. I > can't see sitting on her into post dates, ie past 41 weeks. > > I couldn't argue with a stand that said sit until 41 weeks; however, this > seems like the right thing to do in the absence of a clearcut evidence based > guideline. > > Garry I thought the question was whether to cover with mag sulfate during labor. Pre-eclampsia is an indication for MgSO4; sbp 140 and 1+ proteinuria is not, IMHO. --------------------------------------------------------------------------- --------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota "If our Founding Fathers didn't believe we should fry killers and rapists like pieces of bacon, they wouldn't have mentioned the electric chair in the Declaration of Independence, for crying out loud!" --Ed Anger (columnist for the Weekly World News) Next message: Mark Perloe: "invitation to join professional discussion on surrogacy" Previous message: Dr Eberhard W Lisse: "Re: I have an idea" Maybe in reply to: Garry E. Siegel: "What would you do, new case" Next in thread: Garry E. Siegel: "Re: What would you do, new case"

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