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RESPONSE TO DR. MCINTOSH -Re: just saw OBGYN - and now measure 3 wks less than 3 wks ago - is this ok????

From: Angela-34 (anonymous@obgyn.net)
Tue, 26 Sep 2000 13:18:21 -0500 (CDT)


So I take it what you are more less saying is that I should worry about it...I did tell her that at my last visit i was 40 so if she was concerned she would schedule an ultrasound??? it is just that she was SO busy today....

At Tue, 26 Sep 2000, anonymous@obgyn.net wrote: >
>At Tue, 26 Sep 2000, Angela-34 wrote:
>>
>>HI when i saw my obgyn at 31 wks - i measured 40 wks ...now at 34 wks
>>she says i measure 37 wks - is this ok??? what does this mean - why
>>would this be??
>>
>>and what is the difference between a spinal and an epidural??
>>
>>thanks
>>
>>my doc was so busy - she was double booked as all of mondays app had to
>>be moved to today as well....she pretty much rushed me out the door
>
>There are lots of things that can influence a fundal height measurement,
>such bladder status, clothing, operator error, size of the mother, but
>if you are measuring so large, and there is not a ready explanation,
>then an U/S is generally performed to find out what the baby is doing.
>
>A spinal actually is placed inside the sheathing around the spinal cord,
>is quick acting, but typically rather short acting, and gives profound
>pain control. It is most commonly used for C/S, where the length of the
>case is fairly predictable. An epidural stops short of the sheathing
>(the dura mater), and is slower in onset and can be set up to last for a
>long time by leaving a catheter in place for continuous dosing or
>periodic redosing. There is less muscular involvement typically, but
>can also be quite satisfactory for C/S if needed.
>
>--
>William D. McIntosh, MD, FACOG
>Clarksville, TN
>
>This is for educational purposes only, and is not intended to be replacement
>or substitute for consultation and examination by an appropriate medical
>professional. Due to time constraints, private e-mails cannot be answered.
>




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