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Re: Oligohydramnios From: James S Smeltzer MD (gaperina@mindspring.com) Thu Aug 27 08:15:43 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DuBose, Terry: "Re: Dilated Umbilical Vein" Previous message: Scotia Phillips, RT, RDMS: "Re: Oligohydramnios" In reply to: Scotia Phillips, RT, RDMS: "Re: Oligohydramnios" Sharon, The causes of oligo are more important than the fact of oligo, unless there is no fluid and the fetal lungs do not develop. No kidneys is a lethal problem regardless of management. Fetal stress can cause it. Ruptured membranes can cause it. It is quite likely that the damage is already done. We did an emergency transport to the hospital and cesarean section for oligohydramnios and bradycardia of an apparently normal fetus and abruption (early separation) of the placenta, caused by toxemia of pregnancy. She had been normal the week before. The baby is on a ventilator, not moving and brain dead. It may be better if you can not save some babies. Jim Smeltzer MD At 05:17 AM 8/27/1998 -0500, you wrote: >At Thu, 27 Aug 1998, Sharon Lampken wrote: >> >>A patient is 32 wks gestation with a prior hx of oligohydramnios. She >>presents to the MD office with decreased fetal movement. Are there any >>studies available that suggest immediate ultasound and possible >>C-section would increase the survival rate of the child. I would truly >>appreciate this information for a research paper I am doing. Thank you >>very much. Please respond asap. > >Is the prior history of oligohydramnios with this gestation or with a >previous pregnancy? Other than the oligohydramnios, what other problems >does the baby have? >There are other tests that might be performed besides an immediate >ultrasound depending on the circumstances. I cannot say there are no >research papers that address the scenario you describe, but I would >think you need more specific criteria that that you have stated. >Determining the need for an immediate C-section at 32 weeks is very >complex. > >By the way, would you please indentify yourself with your professional >credentials? > >-- >Scot > Next message: DuBose, Terry: "Re: Dilated Umbilical Vein" Previous message: Scotia Phillips, RT, RDMS: "Re: Oligohydramnios" In reply to: Scotia Phillips, RT, RDMS: "Re: Oligohydramnios"

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