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Re: pregunta
From: ronniem@entelchile.net
Thu Sep 20 08:51:39 2001
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> De: "Jose Antonio Rosales Delgado" <rosaedo@ver.megared.net.mx>
> Fecha: 2001/09/20 Thu AM 09:23:24 GMT-04:00
> Para: Multiple recipients of list OBGIN-L <obgin-l@mail.medispecialty.com>
> Asunto: Re: pregunta
>
> estoy en absoluto desacuerdo con el manejo propuesto
.....corticoides ...para que?..a menos que tenga dinamica uterina y / o acoratamiento cervical en mas de un 60%.
....tocolisis...??? nada ha demostrado que sirva ni en este ni en ningun caso como profilaxis del parto prematuro. ....reposo...si...si la paciente lo necesita basicamente por disconfort. ...cesarea electiva ....porque???...a menos que exista concomitantemente una vagina muy estrecha como parte del defecto embriologico.
como ves esto se pone interesante!!!!
ronnie
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Estoy totalmente de acuerdo con la conducta de la Dra.Nallar. Dr: José A. Rosales D.
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From: obgin-l@obgyn.net Date: Jueves, 20 de Septiembre de 2001 05:42:17 a. To: Multiple recipients of list OBGIN-L Subject: Re: pregunta Estimado German: Mi experiencia en uteros bicornes es la siguiente: 1)maduracion pulmonar fetal con corticoides a las 29 semans 2)uterohinibicion y reposo absoluto 3)cesarea electiva a las 36 como maximo Dra Monica Nallar Salta Argentina
-- German Revelo escribió: > SOY GINECOBSTETRA EN COLOMBIA, LA SIGUIENTE PREGUNTA: PTE. DE 34 AÑOS G1 A1, > CON HIPOTIROIDISMO EN TRATAMIENTO,DEFECTO MULLERIANO CONSISTENTE EN UTERO > DIDELFO, CON TABIQUE VAGINAL COMPLETO, Y QUE ACTUALMENTE CURSA CON UN > EMBARAZO DE 35 SEMANAS, CON EVOLUCION DESDE EL PUNTO DE VISTA OBSTETRICO > NORMAL, CUAL ES LAVIA DEL PARTO MAS ADECUADA? MUCHAS GRACIAS>> ----- Original Message ----- > From: <ronniem@entelchile.net> > To: "Multiple recipients of list OBGIN-L" <obgin-l@mail.medispecialty.com> > Sent: Monday, September 17, 2001 8:42 AM > Subject: Re: medico residente de ginecologia y obstetricia > > > > > >hospitalizada...corticoides.....doppler umbilical periodico de acuerrdo a > valores obtenidos (diario o cada 2 o 3 dias),,,,perfil biofisico > especialmente cantidad de l.a.diario. fibrinogeno materno..curva de > crecimiento fetal > > > > buen caso ..mantennos informados > > > > ronnie > > > De: guillengustav35@hotmail.com (gustav guillen) > > > Fecha: 2001/09/12 Wed PM 10:29:35 GMT-04:00 > > > Para: Multiple recipients of list OBGIN-L > <obgin-l@mail.medispecialty.com> > > > Asunto: medico residente de ginecologia y obstetricia > > > > > > estimados colegas es primera vez que escribo, les comento el caso de una > > > paciente de 18 años primigesta con anemia drepanocitica actualmente con > > > embarazo gemelar de veinticuatro(24) semanas y obito fetal mas retardo > > > del crecimiento intrauterino del feto vivo,nuestra duda es como > > > monitorizarla para lograr llegar lo mas cerca al termino, si se debe > > > hacer de forma ambulatoria o internada.agradezco sus opiniones > > > > > > -- > > > gustavo guillen > > > > > > >
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<TD id=INCREDITEXTREGION style="FONT-FAMILY: Black Chancery; FONT-SIZE: 14pt; PADDING-LEFT: 7px; PADDING-RIGHT: 7px" width="100%"> <DIV>Estoy totalmente de acuerdo con la conducta de la Dra.Nallar.</DIV> <DIV>Dr: José A. Rosales D.</DIV> <DIV> </DIV> <DIV id=IncrediOriginalMessage><I>-------Original Message-------</I></DIV> <DIV> </DIV> <DIV id=receivestrings> <DIV dir=ltr style="FONT-SIZE: 11pt" <i><B>From:</B></I> <A href="mailto:obgin-l@obgyn.net">obgin-l@obgyn.net</A></DIV> <DIV dir=ltr style="FONT-SIZE: 11pt" <i><B>Date:</B></I> Jueves, 20 de Septiembre de 2001 05:42:17 a.</DIV> <DIV dir=ltr style="FONT-SIZE: 11pt" <i><B>To:</B></I> <A href="mailto:obgin-l@mail.medispecialty.com">Multiple recipients of list OBGIN-L</A></DIV> <DIV dir=ltr style="FONT-SIZE: 11pt" <i><B>Subject:</B></I> Re: pregunta</DIV></DIV> <DIV> </DIV>Estimado German:<BR>Mi experiencia en uteros bicornes es la siguiente:<BR>1)maduracion pulmonar fetal con corticoides a las 29 semans<BR>2)uterohinibicion y reposo absoluto<BR>3)cesarea electiva a las 36 como maximo<BR>Dra Monica Nallar<BR>Salta<BR>Argentina<BR><BR>German Revelo escribió:<BR><BR>> SOY GINECOBSTETRA EN COLOMBIA, LA SIGUIENTE PREGUNTA: PTE. DE 34 AÑOS G1 A1,<BR>> CON HIPOTIROIDISMO EN TRATAMIENTO,DEFECTO MULLERIANO CONSISTENTE EN UTERO<BR>> DIDELFO, CON TABIQUE VAGINAL COMPLETO, Y QUE ACTUALMENTE CURSA CON UN<BR>> EMBARAZO DE 35 SEMANAS, CON EVOLUCION DESDE EL PUNTO DE VISTA OBSTETRICO<BR>> NORMAL, CUAL ES LAVIA DEL PARTO MAS ADECUADA? MUCHAS GRACIAS<BR>> ----- Original Message -----<BR>> From: <<A href="mailto:ronniem@entelchile.net">ronniem@entelchile.net</A>><BR>> To: "Multiple recipients of list OBGIN-L" <<A href="mailto:obgin-l@mail.medispecialty.com">obgin-l@mail.medispecialty.com</A>><BR>> Sent: Monday, September 17, 2001 8:42 AM<BR>> Subject: Re: medico residente de ginecologia y obstetricia<BR>><BR>> ><BR>> > >hospitalizada...corticoides.....doppler umbilical periodico de acuerrdo a<BR>> valores obtenidos (diario o cada 2 o 3 dias),,,,perfil biofisico<BR>> especialmente cantidad de l.a.diario. fibrinogeno materno..curva de<BR>> crecimiento fetal<BR>> ><BR>> > buen caso ..mantennos informados<BR>> ><BR>> > ronnie<BR>> > > De: <A href="mailto:guillengustav35@hotmail.com">guillengustav35@hotmail.com</A> (gustav guillen)<BR>> > > Fecha: 2001/09/12 Wed PM 10:29:35 GMT-04:00<BR>> > > Para: Multiple recipients of list OBGIN-L<BR>> <<A href="mailto:obgin-l@mail.medispecialty.com">obgin-l@mail.medispecialty.com</A>><BR>> > > Asunto: medico residente de ginecologia y obstetricia<BR>> > ><BR>> > > estimados colegas es primera vez que escribo, les comento el caso de una<BR>> > > paciente de 18 años primigesta con anemia drepanocitica actualmente con<BR>> > > embarazo gemelar de veinticuatro(24) semanas y obito fetal mas retardo<BR>> > > del crecimiento intrauterino del feto vivo,nuestra duda es como<BR>> > > monitorizarla para lograr llegar lo mas cerca al termino, si se debe<BR>> > > hacer de forma ambulatoria o internada.agradezco sus opiniones<BR>> > ><BR>> > > --<BR>> > > gustavo guillen<BR>> > ><BR>> ><BR>> ></TD></TR> <TR> <TD id=INCREDIFOOTER width="100%"> <TABLE cellPadding=0 cellSpacing=0 width="100%"> <TBODY> <TR> <TD width="100%"></TD> <TD align=middle id=INCREDISOUND vAlign=bottom></TD> <TD align=middle id=INCREDIANIM vAlign=bottom></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE><SPAN id=IncrediStamp><SPAN ltr??><FONT face="Arial, Helvetica, sans-serif" size=2>____________________________________________________<BR><FONT face=3D"Comic Sans MS" size=3D2><A=20 size=2>____________________________________________________<BR><FONT href="http://www.incredimail.com/redir.asp?ad_id=531"><IMG align=baseline alt="" border=0 hspace=0 src="http://www.incredimail.com/contents/stamps/5_mors.gif"></A> <I>IncrediMail</I>
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