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Re: OB-GYN-L digest 1641 From: Ricardo Savaris (savaris@orion.ufrgs.br) Wed Apr 29 06:13:09 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jeffrey W. Clemens: "Re: GYN: Breast self examination cards" Previous message: DMDK Shoup: "This Week in Chat @ OBGYN.net" > Date: Tue, 28 Apr 1998 12:05:15 -0500 > From: Geffrey Klein <GK6972@americanmed.com> > To: "'ob-gyn-l@obgyn.net'" <ob-gyn-l@obgyn.net> > Subject: OB: Management Please > Message-ID:<c=US%a=_%p=Americal_Medical%l=AMM1EXCH-980428170515Z-1951@amm2mg1.americanm ed.com> > > 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 I go for C, I don't see a reason to terminate the gestation -- Ricardo Savaris, MD, TEGO, MSc Porto Alegre, Brazil 55 51 3301354 Next message: Jeffrey W. Clemens: "Re: GYN: Breast self examination cards" Previous message: DMDK Shoup: "This Week in Chat @ OBGYN.net"

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