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Re: PPROM at 34 wks From: R.Daniel Braun, MD FACOG (rbraun@netdirect.net) Sat Aug 30 10:44:13 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R.Daniel Braun, MD FACOG: "Re: PPROM at 34 wks" Previous message: Ronald R Helm: "Re: PPROM at 34 wks" In reply to: Geffrey Klein: "PPROM at 34 wks" Next in thread: Geffrey Klein: "Re: PPROM at 34 wks" At Sat, 30 Aug 1997, Geffrey Klein wrote: > >Hi all.. anyone disagree with pitocin for this lady? > >19 y/o G1 at 34 2/7 presents with SROM clear fluid. During prenatal >course ultrasound at 20 wks supports her dates. Had MSAFP elevated 2.3 >MOM with no anomalies on US. Pt refused amnio. > >Admitted and was grossly ruptured. Fluid sent from vagina for lung >maturity. Pt placed on amp and erythromycin. Strip reassuring, no >fever, no contractions, fetal movement slightly decreased. No signs of >infection. > >U/S in hospital noted 1600g (31 wks. BPP 8/8 AFI 8 > >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 > >-- >Geffrey Klein, MD >geffrey.klein@obgyn.net > I would continue observation until either signs of infection or 35 weeks and then I would induce. BTW spontaneous onset of contractions is a sign of infection. -- R.Daniel Braun, MD "Heisenberg might have slept here" Unknown or Indecisve Next message: R.Daniel Braun, MD FACOG: "Re: PPROM at 34 wks" Previous message: Ronald R Helm: "Re: PPROM at 34 wks" In reply to: Geffrey Klein: "PPROM at 34 wks" Next in thread: Geffrey Klein: "Re: PPROM at 34 wks"

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