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Re: high-risk obstetrics From: rbraun@indyunix.iupui.edu Mon Mar 31 09:58:04 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rbraun@indyunix.iupui.edu: "Re: Adolescent Pregnancy" Previous message: Dr Antonio Valdez: "Re: Adolescent Pregnancy" In reply to: Dr Antonio Valdez: "Re: high-risk obstetrics" Most folks now a days are not using any kind of fetal sampling in patients like the one you describe. -- @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ R. Daniel Braun, MD FACOG "Money will buy you a fine dog Clinical Professor OB/GYN but only love will make it Indiana University School of Medicine wag its tail" Indianapolis, IN Richard "Kinky" OBGYN.net, International Rep. U.S. Friedman Kinky Friedman for President @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ On Sun, 30 Mar 1997, Dr Antonio Valdez wrote: > At 12:21 PM 3/30/97 -0600, ROSARA GANDELMAN wrote: > >I am practicing gynecologist, and I have a patient who is suffering of > >ideopathic thrombocytopenia and is reciving treatment to mantein > >platelet count in normal level. > > BTW...I have a patient 22y GI with a diagnosis of idiopathic > thrombocytopenic purpura (ITP) 2 months before the pregnancy under treatment > with prednisone 20mg/day with complete relapse of the ITP, asyntomatic, with > platelet levels every two months over 200,000 with no needs of other > traetment, now on her 8th month of pregnancy..... In this particular lady,DO > you consider the need of PUBS to check the fetal levels of platelets...as I > know, the fetal risk of death in a PUBS is 1%...I know that there isn't a > predictor of fetal thrombocytopenia..but in Burrow's MEDICAL COMPLICATIONS > OF PREGNANCY said..." the risk of fetal thrombocytopenia is low in infants > born to mathers with no history of ITP prior to pregnancy...20 to 40% of > such infants presents some degree of thrombocytopenia, and in this infants > there is a 1 to 3% of cranial bleeding" ... so the risk of cranial bleeding > in this baby is 0.2 to 0.4% versus 1% risk of PUBS..... > Thank you for your comments.... > > Antonio Valdez-Torres MD FACOG > Hospital Guernika > Ciudad Juarez, Chihuahua, Mexico > Next message: rbraun@indyunix.iupui.edu: "Re: Adolescent Pregnancy" Previous message: Dr Antonio Valdez: "Re: Adolescent Pregnancy" In reply to: Dr Antonio Valdez: "Re: high-risk obstetrics"

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