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Re: PPROM at 34 wksFrom: Michael J. Wolpmann, M.D. (elvis@llano.net)Sat Aug 30 10:04:10 1997
At Sat, 30 Aug 1997, Dr Eberhard W Lisse wrote: > >> Hi all.. anyone disagree with pitocin for this lady? > >Yes, me :-)-O > >[...] > >> Now around 5 pm L/S and PG come back immature.. >> I gave steroids on admission (anyone disagree?) >> >> Now 24 hrs post first dose of celestone > >Why induce her? In particular when you have evidence that >the baby is immature. She is on Ampicillin and Erythromycin >so why not wait for a while and see what happens? > >- >Dr. Eberhard W. Lisse Dear Geff: I too would not induce except for maternal/fetal indications. As long as mom is afebrile and baby happy on the strip, just wait. She will probably declare herself soon anyway, but you just might get that other dose of steroids in. BTW, why ampicillin AND erythro? I use Unasyn as it appears to prolong latent period. Just wondering.
-- elvis, MD
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