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OB: new casesFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Fri May 28 16:04:39 1999
First case: 25 YO p0000 at 37 1/7 weeks, excellent dates. She had first trimester bleeding, no cause found, and at 34 weeks was small for dates, and was found to have an AFI of 7, with otherwise good growth and normal anatomy. She has been followed since with weekly AFIs, all 6 to 8, and NSTs, all reactive. Her AFI yesterday was 5, cervix 1-2/50%/-3, growth measurements 35.5 weeks. Would you: 1. Induce? If so, would you ripen, and if so, with what? 2. Continue surveillance? 3. Other. Second case: 25 YO P1001 at 41 0/7, uncomplicated pregnancy, last delivery vaginally, 8 pounds, 6 ounces elsewhere, no problem per patient. Scanned today for BPP since 41 weeks, and BTW FH is 43 cm, and has a clinically big baby. BPP 8/8, EFW 4490g, Cervix 0/25/-3. Would you: 1. Sit tight, continue postdates surveillance. 2. Induce/ripen? 3. Other. Remember, it's Friday, a holiday weekend, and you're not on call--another MD from a different group it. Garry :)
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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