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Re: PPROM at 34 wks From: jay kulkin (jkulkin@mindspring.com) Sun Aug 31 20:45:40 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ATFSOCCER@aol.com: "Re: PPROM at 34 wks" Previous message: ATFSOCCER@aol.com: "Re: Twins/uterine monitoring" Maybe in reply to: Geffrey Klein: "PPROM at 34 wks" Next in thread: Geffrey H. Klein, MD: "Re: PPROM at 34 wks" Reply: Geffrey H. Klein, MD: "Re: PPROM at 34 wks" I never got an answer to my question in this thread. If the LS/PG is mature, would everyone empirically induce? Jay At 07:09 PM 8/31/97 -0500, you wrote: >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 > Next message: ATFSOCCER@aol.com: "Re: PPROM at 34 wks" Previous message: ATFSOCCER@aol.com: "Re: Twins/uterine monitoring" Maybe in reply to: Geffrey Klein: "PPROM at 34 wks" Next in thread: Geffrey H. Klein, MD: "Re: PPROM at 34 wks" Reply: Geffrey H. Klein, MD: "Re: PPROM at 34 wks"

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