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Re: What would *ya'll* do, new case, update againFrom: Larry Leeman (zuni@well.com)Sat Jan 11 11:35:19 1997
Garry Siegal wroteShe was seen today after the weekend of bedrest, with stable BP 130 to 140/80 to 90, trace protein, 2 pound weight loss, no symptoms, reactive NST. Her cervix is now 0/50/-3/soft/mid. She is 39 1/7 weeks, good dates. I plan to see her in 3 days with a NST, and likely bite the bullet and induce with PG ripening prn next week at 40 weeks. Garry I don't think we have a clear diagnosis of preeclampisa and would question the need for induction with BP not high enough to dx preeclampsia and trace protein. I would check a spot urine protein/creatine ration and if less than 0.3 continue epectant management with NST surveillance. Larry Leeman MD,MPH Co-Director Obstetrics Zuni Indian Health Servie Zuni,NM zuni@well.com
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