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Re: Management Please From: RModugno (RModugno@aol.com) Wed Apr 29 12:03:17 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno: "Re: Electronic Fetal MOnitoring" Previous message: Betty Rommel, MD, PhD: "Re: Electronic Fetal MOnitoring" In a message dated 98-04-28 21:15:09 EDT, you write: << >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 > > >> C) Robert Modugno MD FACOG Premier Medical Group OB/GYN Roswell, Ga Next message: RModugno: "Re: Electronic Fetal MOnitoring" Previous message: Betty Rommel, MD, PhD: "Re: Electronic Fetal MOnitoring"

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