Thanks for replys the mother with severe PE NEEDED TO BE DELIVERED A C/S OR TRY INDUCTION AT 33 WEEKS ? The mother decided on c/s on the monday then that mornig bravley changed her mind tues morning had prosten gel that evening went to LW lots of high blood pressuresblood tests later on wed morning the head was down the cx ripe she had an ARM and syntocinon was upright and active and delivered 4 hrs later a well 1.966grm baby with apgars of 9 and 10 she had no analgesia and post del held her baby close skin to skin for 1 hr during which time the baby found the breast and feed . we sent 10 mls of antte natal colostrum with babe and before long had another 10 mls that gives us a 4 hr start on suppling babes needs which will be a struggle any tips jan ----- Original Message ----- From: Jennifer Vaudin <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, March 24, 2003 8:44 PM Subject: Re: [ukmidwifery] pe induction
> >Hi Jan, > >Did you get any responses to your question other than from Sarah? No longer > >working in a hospital myself, I'd be really interested to know what the > >current practice/recommendations are re: induction or caesarean at 33 weeks > >for pre-eclampsia. > >Andrea Bilcliff > > > I've seen research that indicates that neonatal outcomes are as good > for induction even earlier than this, but high likelihood of failure > (IIRC >50%). But ?greater likelihood of success in a multip. I don't > think I would agree to ARM personally in these circumstances, but a > couple of doses of Prostin I would try. As her midwife you could help > to ensure that the birth is no more medicalised than it needs to be > or she wants eg positions > > There's a pre-eclampsia support list. > > 1: J Matern Fetal Med 2001 Oct;10(5):305-11 Labor induction for the > preterm severe pre-eclamptic patient: is it worth the effort? > Blackwell SC, Redman ME, Tomlinson M, Landwehr JB Jr, Tuynman M, > Gonik B, Sorokin Y, Cotton DB. Division of Maternal-Fetal Medicine, > Department of Obstetrics and Gynecology, Wayne State University, > Detroit, Michigan, USA. OBJECTIVE: The purpose of this study was to > examine the success rate of labor induction in patients with severe > pre-eclampsia delivered at X/= 34 weeks' gestation; to identify > factors associated with its success; and to evaluate neonatal > outcomes based on induction success or failure. METHODS: We > identified pregnancies complicated by severe pre-eclampsia delivered > at < 28 weeks. > > -- > > [EMAIL PROTECTED] > Jennifer Vaudin > > ------------------------ Yahoo! Groups Sponsor ---------------------~--> > Make Money Online Auctions! Make $500.00 or We Will Give You Thirty Dollars for Trying! > http://us.click.yahoo.com/yMx78A/fNtFAA/46VHAA/rRBslB/TM > ---------------------------------------------------------------------~-> > > CHANGING YOUR UKMIDWIFERY SETTINGS: > > To change to the Daily Digest, go no-mail (ie read emails only on the website), to leave the list, and to remove graphics and adverts from messages, go to 'Edit My Membership' at http://groups.yahoo.com/group/ukmidwifery > > You can also UNSUBSCRIBE by sending a blank email to: > [EMAIL PROTECTED] and NOT to the usual group address. > *********************** > > > > Your use of Yahoo! Groups is subject to http://docs.yahoo.com/info/terms/ > > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
