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Re: OB: 40 y/0;IVF; pit labor? From: rbraun@iupui.edu Tue Dec 9 11:21:33 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rbraun@iupui.edu: "Re: OB: 40 y/0;IVF; pit labor?" Previous message: Ricardo Savaris: "Wound dehiscencce" In reply to: Jeffrey W. Clemens: "OB: 40 y/0;IVF; pit labor?" Next in thread: Robert J Woolley: "Re: OB: 40 y/0;IVF; pit labor?" Reply: Robert J Woolley: "Re: OB: 40 y/0;IVF; pit labor?" Reply: Malcolm Griffiths: "OB: Premium pregnancy ? ( was 40 y/0;IVF; pit labor?)" Answer: All of the above twice. This lady is 40 and has an IVF pregnancy. Hence this is (and yes I know they all are) a premium pregnancy. Yes Bob this is gut driven and not logic. I did not mean to imply that the IVF pregnancy has an increased risk, per se. It is possible that it does, but I have no data or studies. I just meant that this shows that this is a highly desired pregnancy. There is also the association between maternal age and abruptio placenta. Ther also is an increased incidence of hypertension-toxemia with increasing maternal age. And as women get older they are more likely to have medical problems, which can then be exacerbated by pregnancy or can affect the pregnancy themselves. That's all the facts I have. I think there is a higher c/s rate. Is that based on the above items or is it a self-fulfilling prophecy or is it because I am afraid of serious problems in these patients and bail out sooner???? I don't know. Great study for somebody, Huh? R. Daniel Braun, MD FACOG On Tue, 9 Dec 1997, Jeffrey W. Clemens wrote: > Listers- > > A "sense of the list" question (I know better than to go for > consensus here) > > Ignoring the Asherman's described in the original post for the > moment, the question below implies something "different" about this > patient. Is the something _____ > A. 40 year old > B. An IVF pregnancy > C. The 5-6 h of pitocin augmentation > D. All of the above > > >Are you going to allow a 40 y/o with an IVF pregnancy to labor with pit > >augmentation for 5-6 hours??? > > In other words, can anyone contribute experience (ancedotal if > necessary, RCT refs would be great) about pregnancy L & D risks in IVF or > 40 y/o moms? Are there good studies that separate the IVF "risk" from the > "age" risk (if risks exist)? > > Jeff (who is ____ > A. Goofing off > B. Taking a break from making a Repro Phys exam > C. Addicted to the list > D. All of the above). > > ================================================================== > Jeffrey W. Clemens, Ph.D. > Assistant Professor > Dept. of Biological Sciences > Duquesne University > Pittsburgh, PA 15282 > 412-396-4597 > Fax 412-396-5907 > ================================================================== > Next message: rbraun@iupui.edu: "Re: OB: 40 y/0;IVF; pit labor?" Previous message: Ricardo Savaris: "Wound dehiscencce" In reply to: Jeffrey W. Clemens: "OB: 40 y/0;IVF; pit labor?" Next in thread: Robert J Woolley: "Re: OB: 40 y/0;IVF; pit labor?" Reply: Robert J Woolley: "Re: OB: 40 y/0;IVF; pit labor?" Reply: Malcolm Griffiths: "OB: Premium pregnancy ? ( was 40 y/0;IVF; pit labor?)"

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