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Re: What would you do, new case From: Garry E. Siegel (garrys@atl.mindspring.com) Sat Jan 11 11:56:47 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Woolley: "Re: What would you do, new case" Previous message: Larry Leeman: "Re: What would *ya'll* do, new case, update again" Maybe in reply to: Garry E. Siegel: "What would you do, new case" Next in thread: Robert J. Woolley: "Re: What would you do, new case" ******The latest update: she went into spontaneous labor, of all things, and will deliver without induction. Garry At 10:53 PM 1/10/97 -0600, you wrote: > >>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 > Next message: Robert J. Woolley: "Re: What would you do, new case" Previous message: Larry Leeman: "Re: What would *ya'll* do, new case, update again" Maybe in reply to: Garry E. Siegel: "What would you do, new case" Next in thread: Robert J. Woolley: "Re: What would you do, new case"

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