Re: NIHF and hypotrophy

From: Dave Berck (djberck@yahoo.com)
Mon Oct 14 14:18:59 2002


Hypothetically, sounds like the baby's on the ropes and needs to come out. Hypothetically, might give steroids for 48hrs while on continuous monitoring and then deliver. But of course, I could be wrong. D Berck, MD, MPH, RDMS

--- Joanna Dangel <dangel@dan.neostrada.pl> wrote: > Hypotetical case: 32 weeks of pregnancy (by LMP),
> 24-25 by biometry,
> until 24 weeks normal fetal growth and normal antomy
> by USG.
> Oligohydramnios (AFI 4)NIHF: ascites, subcutaneous
> edema, pericardial
> effusion. Enlarged heart (Ha/Ca ratio 0,66), normal
> anatomy, normal
> arterial velocity. EFW 800 g. Reverse flow in
> ductus venosus, severe
> TR, abnormal flow in IVC, pulsations in UV, reverse
> flow in UA, low RI
> in MCA. Fetal bradycardia 100 bpm. "Silent" CTG.
> What would be your plan?
> Thank You
>
> --
> Joanna Dangel, MD

===== David J. Berck, MD, MPH

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