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Re: fetal monitoring during surgery From: DoctorJoe@aol.com Mon Mar 31 15:06:09 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "GNRH agonists and adenomyosis" Previous message: DoctorJoe@aol.com: "Re: fetal monitoring during surgery" Maybe in reply to: Susan McNiel: "fetal monitoring during surgery" Next in thread: hldnsj@top.monad.net: "Re: fetal monitoring during surgery" Received: from watson.bcm.tmc.edu (WATSON.BCM.TMC.EDU [128.249.2.1]) by talk.obgyn.net (8.6.12/8.6.12) with ESMTP id QAA00672 for <ob-gyn-l@obgyn.net>; Mon, 31 Mar 1997 16:06:09 -0600 Received: from polly-04 ([128.249.142.26]) by watson.bcm.tmc.edu (8.7.6/8.6.6) with SMTP id PAA19191 for <ob-gyn-l@obgyn.net>; Mon, 31 Mar 1997 15:13:33 -0600 (CST) Date: Mon, 31 Mar 1997 15:13:33 -0600 (CST) Message-Id: <199703312113.PAA19191@watson.bcm.tmc.edu> X-Sender: richardc@bcm.tmc.edu Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" To: ob-gyn-l@obgyn.net From: richardc@bcm.tmc.edu (Richard Chudacoff, MD) Subject: high-risk obstetrics X-Mailer: <Windows Eudora Version 2.0.2> > >Message-ID: <199703302318.QAA12458@socrates.infolnk.net> > >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)... 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 have an ITP patient at 37 weeks now. Her platlets have been stable on Prednisone 10 QOD. Her glucose is another matter and I just had to start her on insulin. I digress, .....anyway, she has the option of getting PUBS and delivering at the community hospital via induction if fetal platlets are normal, or no PUBS and delivering downtown at the tertiary care center. She'd rather deliver here, but does not want PUBS so she will go to the Mecca. I think that the route of delivery is not an issue, but rather what the fetal platlets are, in determining the potential of IVH. But, I'll defer to Ken Moise whom I use as a consultant, if he cares to chime in, or anyone else with a greater knowledge base. Rick -- Richard Chudacoff, MD Assistant Professor, OB/GYN Baylor College of Medicine Practice Medical Director BaylorMedCare 1601 Main St., STE 505 Richmond, TX 77469 tel 281-344-0277 fax 281-344-0288 Advisory Board-OBGYN.net http://www.obgyn.net/board/chudacoff.htm "Welcome to President Bush, Mrs. Bush, and my fellow astronauts." -Former U.S. Vice-President Dan Quayle Next message: Richard Chudacoff, MD: "GNRH agonists and adenomyosis" Previous message: DoctorJoe@aol.com: "Re: fetal monitoring during surgery" Maybe in reply to: Susan McNiel: "fetal monitoring during surgery" Next in thread: hldnsj@top.monad.net: "Re: fetal monitoring during surgery"

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