-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: RCT supports expectant management 42 wks From: Bernard Cristalli (bcrist@club-internet.fr) Sat Dec 26 12:35:04 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Peter Wein: "Re: RCT supports expectant management 42 wks" Previous message: Bernard Cristalli: "Re: Hasson versus Veress insufflation." Maybe in reply to: Karen D. Kudia: "RCT supports expectant management 42 wks" Next in thread: Peter Wein: "Re: RCT supports expectant management 42 wks" Deborah J. Wage FNP, CNM a écrit: > ... Expectant management past 40 weeks is not the norm here, except for a handful of > providers. > > I am currently frustrated over the number of inductions I have done for postdates oligo. I seem to remember > a discussion last year about the AFI and 'over-diagnosing' of oligo. I would like to open this up for > discussion as I seem to get an AFI <6 with EVERY 41 weeker I order a BPP on. And, in my population, I have a > large number of patients that desire natural birth and induction of course often leads us down another road. > > ... > > Deborah Wage, MSN,FNP,CNM > > ... -- If you do an induction too early you will end doing a C-section just as you will get an unripe apple if you pick it green. 40 weeks is a ticket to C/S. We use to induce at 42 weeks (LMP). Every woman has an early US (<12 w) so the terms are supposed to be correct (+/- 5 d). Only ten % of the babies had clinical signs of post maturity in the last survey we did. Our ability to determine the actual term is as bad as our abilty to assess fetus' size and weight. The point is there. But how can we do it otherwise? The risk would be to miss true post mature, and to loose some of them. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm http://www.cliniquedelessonne.fr/ Next message: Peter Wein: "Re: RCT supports expectant management 42 wks" Previous message: Bernard Cristalli: "Re: Hasson versus Veress insufflation." Maybe in reply to: Karen D. Kudia: "RCT supports expectant management 42 wks" Next in thread: Peter Wein: "Re: RCT supports expectant management 42 wks"

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: Wed Dec 2 05:26:55 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.