|
Re: PREGNANCY: PIH, IUGR & Steroids
From: Ashleigh (anonymous@obgyn.net)
Mon, 24 Mar 2008 18:27:34 -0500 (CDT)
Today my OB wanted me to start steroids to help my baby's lungs develop
(I'm @ 31.5 wks). I agreed without doing any research (figured the docs
know much better than I do). Does anyone have any information on the
steroids or know of websites with reliable information on them? I assume
that she would not have suggested it if the benefits didn't outweigh the
risks but I'd just like to be informed. The steroid is
betametha-something.
At Wed, 19 Mar 2008, Ashleigh wrote:
>
>Thank you for your input. I went in today b/c the baby wasn't moving as
>much as usual ... the NST was nonreactive so they sent me for a BPP
>that he passed in 10 minutes. She indicated that the blood flow to the
>placenta has improved since Monday. I am SO excited to hear that news.
>The baby hasn't grown in two weeks but my hope is that with increased
>blood flow to the placenta he will begin to grow again. I am supposed
>to go back for another NST on Monday ... it seems so long to go from
>Wednesday to Monday without the reassurance of hearing his heart on the
>monitors!
>
>Thank you again for your help!
>
>At Wed, 19 Mar 2008, William F. von Almen, II, MD, FACOG wrote:
>>
>>Ashleigh
>>
>>Sounds like the docs are monitoring you well. It is a fine line to walk
>>between delivering prematurely and risking the baby's health. Close
>>monitoring is the halmark and frequent visits provide that as do
>>frequent monitoring and ultrasounds.
>>As far as baby health at this stage, that is better asked of the
>>neonatologist. We do know that often the stress of PIH will lead to
>>advanced maturity of the baby...Dr. von Almen
>>
>>At Tue, 18 Mar 2008, Ashleigh wrote:
>>>
>>>I've been diagnosed with pregnancy induced hypertension and
>>>intrauternine growth restriction. My baby dropped from the 19th
>>>percentile 2 weeks ago to less than the 3rd percentile this week. We're
>>>obviously very concerned about this as it appears he hasn't grown at all
>>>in two weeks.
>>>
>>>I just would like a second opinion (though I know that it is very
>>>dependent on my individual case so the doctors here may not be able to
>>>give an opinion).
>>>
>>>My doctors want to wait as long as possible to deliver him so that his
>>>organs can develop. But I'm terrified that if he's not growing that he
>>>will die inside of me. Is it more dangerous to leave him inside or take
>>>him early? I am at 30 weeks 3 days today. He weighs approximately 2 lb
>>>3 oz.
>>>
>>>Also, what kind of problems will he likely face after birth? I didn't
>>>ask yesterday at the hospital and I don't go back until Thursday and
>>>would like to be prepared for whatever news I get then.
>>>
>>>Thank you.
>>
>>--
>> Note: Opinions expressed here are for educational purposes
>> only and, as such, do not constitute a physician-patient
>> relationship. This information is not intended to supplant
>> the need for you to consult with your physician prior to
>> choosing therapeutic options and/or interventions.
>> ** Private emails cannot be entertained due to time
>> constraints; consequently, they will receive no response.
>>
>>William F. von Almen, II, MD, FACOG
>>Private Practice
>>New Orleans, La.
>>
|
|
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)