-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: Management Please From: R. Daniel Braun, M.D. (rbraun@iunet.iupui.edu) Tue Apr 28 12:50:23 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein: "Re: Management Please" Previous message: Stephen A. Szabo: "Re: Management Please" What is the incidence of Platelets = 100K at term in your population? We seem to see it fairly often. If no other signs of bleeding problems and lacking elevated Liver enzymes and lacking hemolysis, we do nothing about it. So I would manage her the same way as any other gestational diabetic at 38+ weeks. Dan -----Original Message----- From: Geffrey Klein <GK6972@americanmed.com> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Tuesday, April 28, 1998 12:08 PM Subject: OB: Management Please >Requesting opinions: > >22 y/o G1 today is 38 2/7 wks by 9 wk CRL. Pt is gestational diabetic >class A2 on 8 U of insulin a day with good control (hgba1c = 6) . She >was placed on insulin by perinatology due to some elevated postprandial >glucose measurements on diet only. Fetal monitor has been reactive each >week. US was done on 4/24 for S>D was 3569g and 90% for EGA of 37.8 >wks. AFI was 13.2. Placenta is anterior. Interestingly, her platelet >count, which was 178K on first visit, is now 100K. PIH has been ruled >out. 24 hr urine this week was 100mg and all other biochemical data is >within normal limits. BPs are all normal. Her cervix is FT dialted >thick and high. She is cephalic. > >Management suggestions? > >A) Tap and induce if mature L/S and PG. >B) Induce regardless. >C) Continue with antenatal testing and allow her to go into spontaneous >labor. >D) Other > >Geffrey H Klein, MD >Dept OB-GYN >MacGregor Medical Association >2200 Nasa Road 1 Suite 200 >Houston, Texas 77058 >(713) 741-2273 ext. 2628 >geffrey.klein@obgyn.net > Next message: Geffrey Klein: "Re: Management Please" Previous message: Stephen A. Szabo: "Re: Management Please"

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 05:27:41 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.