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Re: PPROM at 34 wksFrom: Robert Brenner (robbrenner@earthlink.net)Sun Aug 31 19:06:15 1997
At 07:13 AM 8/30/97 -0500, you 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 (<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 > >Geffrey Klein, MD >geffrey.klein@obgyn.net I'd wait for her to go into labor or show evidence of chorioamnionitis.Then I'd deliver. Also I'd do daily NST.
-- Robert Brenner MD FACOG Baltimore MD Robbrenner@earthlink.net
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