|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Doubts about AFI in PROMFrom: Malcolm Griffiths (malcolm@mgriff22.demon.co.uk)Wed Jun 4 10:07:50 1997
In message <3394CC85.107E@gate.net>, dahmd <dahmd@gate.net> writes >Ricardo Savaris wrote: > >> I have seen a few PROM on the last couple of days and I have a doubt about >> its management. How much should we consider the amniotic fluid index (AFI) >> in these patients. Lets say, NST, Biophysical Profile and Doppler are >> normal, except by the AFI, which is zero. > >Ricardo- > >Management would depend on the gestational age. If the patient is at 34 >weeks or greater (some would say 32 weeks or greater), I strongly >consider induction of labor with possible prophylactic amnioinfusion. >If less than 37 weeks, or if prolonged ROM (say greater than 18 hours) I >usually prescribe antibiotics. > My practice - based on the last review on the subject I saw in the Cochrane database - is conservative management ( ie., no induction ) until 37 completed weeks for preterm PROM. My experience with this has been uniformily good - which obviously doesn't constitute hard-evidence. What do others think and/or view the evidence ? Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp., LU6 2DT, UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire) "But sometimes it's fun :-)" (Griffiths)
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:20:03 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.