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A couple of questionsFrom: Tim and Jude Kurokawa (jkuro@midrivers.com)Sun Mar 8 19:56:13 1998
The other day I had a 17 y/o with a 34-35 wk pregnancy (depending on which wheel you looked at) who "probably" has a bicornate uterus, and who was breech, and had PPROM, clear fluid. I called my consultant from the big city as my backup doc was out of town, and he suggested giving her betamethasone. It was my understanding that the window for betamethasone was 28-32 wks or so, and said so. He said "well it won't hurt anything to give it". So I did, and got her transfered out. Delivered by csec the next morning when she went into labor. The other question is regarding the bicornate uterus. She transferred in to me after 20 wks, with just the one u/s on the records, and the report just reads "bicornate uterus". I asked the radiologist to look at the tape, but he couldn't really give me a good answer why his partner had made that diagnosis. (Maybe you had to be there) A 22 wk u/s didn't mention the bicornate uterus. Is it possible to see the severity of the defect earlier in the pregnancy? Makes sense to me that it might be fairly easy to see in first or early 2nd trimester.? What other testing-further testing should I do should this come up again? V<>V<>V<>V<>V<>V<>V<>V Jude Kurokawa, CNM, FNP 513 Dayton St. Wolf Point, MT 59201 406-653-1608 Home and Hospital births on the Rez The Coyote midwife sits by the hole and waits.... mailto:jkuro@midrivers.com HTTP://WWW.midrivers.com/~jkuro V<>V<>V<>V<>V<>V<>V<>V<>V
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