Re: A couple of questions

From: mark decker (mdecker@nconnect.net)
Sun Mar 8 21:43:15 1998


my perinatal docs - very sane very practical and one possessing a photographic memory and literature reviews are up to date on a weekly basis - if he got it he read it all in one week.

they converted over some time back to using steroids after 32 weeks to 35 if the other criteria of no infection are present. can't tell you when they made the switch but I think it was over a year ago. some newer data and or newer common opinion asa i remember led to this change in philosophy. somebody help me out here.

At 08:57 PM 3/8/98 -0600, you wrote: >------=_NextPart_000_0042_01BD4ACB.55C2FAE0
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>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. Mark Decker





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