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Re: PPROM at 34 wks From: Bernard Cristalli (bcrist@club-internet.fr) Sat Aug 30 15:43:18 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Delivery mode in a patient with a previous rectovaginal" Previous message: Bernard Cristalli: "Re: Hysterectomy on demand" Maybe in reply to: Geffrey Klein: "PPROM at 34 wks" Next in thread: Robert Brenner: "Re: PPROM at 34 wks" Geffrey Klein wrote: > > 19 y/o G1 at 34 2/7 presents with SROM clear fluid. > > Admitted and was grossly ruptured. Pt placed on amp and erythromycin. > Strip reassuring, no fever, no contractions, > No signs of infection. > > U/S in hospital noted 1600g (<10% for 34 wks) cephalic SIUP, EGA by US > 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 > -- OK for steroids. If no clinical &/or bio sign of infection wait till spontaneous onset of labor. Pitocin at the merest sign of infection anyway. At that term and estimated weight C-sections didn't show true advantages (unless need during during labor). -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "Re: Delivery mode in a patient with a previous rectovaginal" Previous message: Bernard Cristalli: "Re: Hysterectomy on demand" Maybe in reply to: Geffrey Klein: "PPROM at 34 wks" Next in thread: Robert Brenner: "Re: PPROM at 34 wks"

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