-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: OB: Pre-eclampsia case From: rbraun@iupui.edu Wed Feb 4 05:32:43 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rbraun@iupui.edu: "Re: Lichen Sclerosus" Previous message: rbraun@iupui.edu: "Re: GEN: Mosby Online" In reply to: Garry E. Siegel, M.D.: "OB: Pre-eclampsia case" Next in thread: Dr. P. Peterman: "Re: OB: Pre-eclampsia case" Reply: Dr. P. Peterman: "Re: OB: Pre-eclampsia case" Reply: Malcolm Griffiths: "OB: Pre-eclampsia case" I take it she is 38 weeks? If she doesn't have pre-eclampsia, she probably will soon. At 38 weeks, I would induce labor, knowing full well that there is an increased risk of C/S and also possibly shoulder dystocia. I would not do a mid forceps on her. R. Daniel Braun, MD FACOG On Tue, 3 Feb 1998, Garry E. Siegel, M.D. wrote: > 31 YO Primigravida, 5 feet 2 inches, 170 pounds at 11 weeks, has a > prenatal course marked by first trimester spotting, subsequently had an > elevated MSAFP risk for Down syndrome, with a normal amnio/ultrasound. > > Her BPs have been 100 to 120/70 to 80 throughout the pregnancy. At 36 > weeks she had BPs of 130 to 140 over 90, no protein, no excessive weight > gain, and was put on bedrest/twice weekly observation. > > 4 days ago, she had a BP of 140/90, 1+ protein, a reactive NST, a cervix > that was 0/25%/floating/post/firm. Lab at that time showed a Hematocrit > of 38, normal platelets, and an SGOT of 35 (upper normal is 40). These > results were available on Saturday, and she returned for a visit today > (Tuesday). > > Today, her BP was 140/100, repeated 135/80, 1 to 2+ protein, no change > in her weight, asymptomatic. Her cervix was unchanged, and her > biophysical profile was normal, with an estimated fetal weight of 3996 > grams. > > What is your diagnosis, if any? > What would you do? > > Garry > > -- > Garry E. Siegel, M.D., FACOG > Private Practice > Roswell, Ga. > Next message: rbraun@iupui.edu: "Re: Lichen Sclerosus" Previous message: rbraun@iupui.edu: "Re: GEN: Mosby Online" In reply to: Garry E. Siegel, M.D.: "OB: Pre-eclampsia case" Next in thread: Dr. P. Peterman: "Re: OB: Pre-eclampsia case" Reply: Dr. P. Peterman: "Re: OB: Pre-eclampsia case" Reply: Malcolm Griffiths: "OB: Pre-eclampsia case"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:27:04 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.