PREGNANCY-BIRTH Messages for April, 2001: Re: 22 Weeks, Doctors Disagreeing

Re: 22 Weeks, Doctors Disagreeing

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 21 Apr 2001 11:52:53 -0500 (CDT)

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In reply to: DeeDee: "22 Weeks, Doctors Disagreeing"

At Sat, 21 Apr 2001, DeeDee wrote: >
>I am 22 weeks and have been on complete bedrest for marginal placenta
>previa for 5 weeks. I have had off and on brown/pink light discharge. I
>just had another ultrasound with the Perionatalogist. The placenta is
>now 2 1/2 inches away from my cervix, so we are very sure that it is not
>a previa and will be up and out of the way by delivery. However, the
>Perio. said he would prefer I stay on bedrest for 3 more weeks, until
>my next ultrasound, since it appears to be working.
>
>I then met with my regular OB; he said the report was fantastic and that
>I did not need to be on bedrest anymore. I should "take it easy but go
>about my business". He called the Perio., and they "fussed and cussed"
>in my OB's words. They compromised and said one more week of bedrest,
>and if no spotting, I can go to work (in an office) then, etc. I asked
>him to define spotting. The OB is not concerned with brown and pink; he
>is concerned about red. I have not had red bleeding at all. My OB's
>point is that I've had the brown/pink occassionally rather I'm on
>bedrest or not. He is not convinced that it's from the placenta.
>
>So, to bring this long story to an end, I am nervous. I did not
>complain about the 3 additional weeks, although I would love to be freed
>from the bedrest. My OB took it upon himself to call the Perio. and
>complain about his order. I'm confused and don't know if I should go
>back to work (part-time) after one week. Thanks!!!

DeeDee

I would say this is your call. It is two different opinions, neither of which is 100% right or wrong. I think the perinatologist is being very conservative, the ob is being cautious.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: varicose veins--ladies any comments appreciated"
Previous message: William F. von Almen, II, MD, FACOG: "Re: BBT and progesterone"
In reply to: DeeDee: "22 Weeks, Doctors Disagreeing"

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