Dear Jan Well Done and thank you for sharing this with us a great precedent to remember for future reference of what is possible Denise Hynd ----- Original Message ----- From: <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Cc: <[EMAIL PROTECTED]> Sent: Wednesday, March 26, 2003 4:55 AM Subject: [ozmidwifery] Re: [ukmidwifery] pe induction
> 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. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
