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Re: OB: PPROM at 19 weeks From: ATB28 (ATB28@aol.com) Fri Mar 13 19:39:01 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey H. Klein, MD: "Re: OB: PPROM at 19 weeks" Previous message: DoctorJoe: "Re: Re[2]: OB: 24 weeker" Maybe in reply to: Geffrey H. Klein, MD: "OB: PPROM at 19 weeks" Next in thread: Geffrey H. Klein, MD: "Re: OB: PPROM at 19 weeks" Reply: Geffrey H. Klein, MD: "Re: OB: PPROM at 19 weeks" Geff: This situation is not unlike the patient who has spontaneous ROM after genetic amniocentesis (who is not infected). Our experience at Einstein, and most other large centers, is non-interventive with most leaks stopping and pregnancies continuing uneventfully. In my mind, this is NOT an indication for termination. We followed the patients with serial U/S scans - more for patient reassurance and interest than anything particularly diagnostic - and had many more successful, normal outcomes than adverse. As long as there are no signs of infection and there are no anomalies, I would continue conservative management. Allan T. Bombard, MD Next message: Geffrey H. Klein, MD: "Re: OB: PPROM at 19 weeks" Previous message: DoctorJoe: "Re: Re[2]: OB: 24 weeker" Maybe in reply to: Geffrey H. Klein, MD: "OB: PPROM at 19 weeks" Next in thread: Geffrey H. Klein, MD: "Re: OB: PPROM at 19 weeks" Reply: Geffrey H. Klein, MD: "Re: OB: PPROM at 19 weeks"

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