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Re: low amniotic fluid and preterm labor

From: Garry Siegel, MD (anonymous@obgyn.net)
Tue, 23 Apr 2002 09:39:07 -0500 (CDT)


Christy:

Hmm. . .are you a gestational diabetic? Is your blood pressure elevated? Do you hypertension when not pregnant?

If this is your first baby, and you have no medical conditions, it is very likely (if your BP is up) that preeclampsia, aka high blood pressure of pregnancy, can be the cause of:

low fluid elevated BP

If so, then your body may "know" something isn't exactly right, and thus make you contract and dilate prematurely. After all, the cure for preeclampsia is delivery, and sometimes our body knows it and tries to cure it before the doctors can figure it out for sure. At times, we realize this and have to balance the need to delivery/allow labor with prematurity concerns.

Labor induction at 36 weeks may be reasonable for: --maternal reasons--ie high BP --fetal reasons--lack of growth, poor fluid

Sometimes, you have to balance prematurity concerns with induction versus ob "horse sense"--if you were 38 weeks with this stuff, well, you would be induced.

Let us know what happens. I would appreciate a post on Monday (my day) with the followup, and a short recap of your situation as a gentle reminder.

Garry

--
Garry E. Siegel, M.D., F.A.C.O.G.
Roswell, GA
Private Practice

No private emails; advice here is not a physician-patient relationship




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