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Poll: Severe growth retardation is diagnosed in the fetus of a 19-year-old unmarried white female at 36 we

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  1. #1
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    obg14

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    Severe growth retardation is diagnosed in the fetus of a 19-year-old unmarried white female at 36 weeks gestation. The diagnosis is based on biparietal diameter and there is scant amniotic fluid.

    Which one of the following is the most appropriate management?



    a. Perform serial L/S ratios until greater than 3.0, followed by prompt delivery
    b. Induce labor, with careful fetal monitoring
    c. Perform an immediate cesarean section
    d. Follow the mother weekly with serial ultrasounds
    e. Follow the mother weekly with nonstress tests

  2. #2
    Anonymous is offline Unregistered Guest
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    answer

    ans is b

    Appropriate management of the preterm infant who is severely growth retarded depends on several factors. Generally those near term should be delivered promptly. By the time that growth retardation has become severe, the fetus is usually mature enough to survive if delivered promptly. However, the fetus must be monitored carefully during labor, with facilities for immediate cesarean section if there is deterioration, and the neonate must receive excellent neonatal care beginning immediately after delivery.
    Ref: Pritchard JA, MacDonald PC, Gant NF (eds): Williams Obstetrics, ed 20. Appleton-Century-Crofts, 1997, pp 848-9.

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