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Re: Caesarean for anencephalyFrom: Ealgail@aol.comTue Oct 12 03:07:50 1999
In a message dated 10/11/99 5:59:06 PM Eastern Daylight Time, dahmd@mpinet.net writes: << Worse than than, she was transferred to us very late in pregnancy due to insurance changes. Does anyone induce/deliver these patients as soon as they are diagnosed? In training, as well as in practice, we have always counseled the patient, and then delivered them as soon as they were diagnosed. One of mine was 27 weeks; and we ran afoul of hospital rules regarding "termination" of third trimester pregnancy. However, we considered it an induction for medical reasons. The added knowledge that these infants' defect also interferes with the normal onset of labor, so that many go to 44 plus weeks, makes induction more reasonable. There is one in the older literature that went 50 weeks. I have been fortunate enough to be in an environment where the use of PgE2, even back to 1981 was accepted and under protocol, to ripen the cervix and/or induce labor, which makes it a more normal process. Linda Linda Morrison-Boczar, M.D. Private Practice
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