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Re: PPROM at 34 wks From: jay kulkin (jkulkin@mindspring.com) Sat Aug 30 15:34:38 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: persistent HCG" Previous message: Garry E. Siegel, M.D.: "Re: Delivery mode in a patient with a previous rectovaginal fistula" Maybe in reply to: Geffrey Klein: "PPROM at 34 wks" Next in thread: Bernard Cristalli: "Re: PPROM at 34 wks" I may have missed this earlier in the thread, but what would you do if LS PG are mature. Would you induce? Why or why not? Jay At 10:27 AM 8/30/97 -0500, you wrote: >> >>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. >> > >I don't have the exact reference for the amp + erythro.. I can look it >up at home. I have a book that I carry around with all of the stuff >that I have collected over the years. The amp/erythro protocol was >presented at a grand rounds, conference, or journal club that I >attended.. I don't anticipate that i will be at home anytime soon. I >am in L&D and these ladies are taking "labor" day weekend a bit >literal.. There are three in labor right now... So if someone has a >reference.. > >I agree that a generic 34 weeker with SROM, no signs of infection, and >reassuring fetal monitoring might be a candidate for expectant >management. However, my concern is the unexplained elevated MSAFP >coupled with the documented wt of less than 10th percentile for GA and >maternal perception of decreased fetal movement... I don't anticipate I >will get a week, so why add chorio/fetal distress on top of that? > >Geff Klein, MD >geffrey.klein@obgyn.net >> > Next message: Bernard Cristalli: "Re: persistent HCG" Previous message: Garry E. Siegel, M.D.: "Re: Delivery mode in a patient with a previous rectovaginal fistula" Maybe in reply to: Geffrey Klein: "PPROM at 34 wks" Next in thread: Bernard Cristalli: "Re: PPROM at 34 wks"

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