Page 1 of 1: OBGY liley?

draditithegreat · Credits: 1247960 My Scrapbook

At 28 weeks gestation, amniocentesis reveals a AOD 450 of 0.20 which is at the top of third zone of the liley curve. The most appropriate management of such a case is:
1. Immediate delivery.
2. Intrauterine transfusion.
3. Repeat Amniocentesis after 1 week,
4. Plasmaphresis.?

draditithegreat · Credits: 1247960 My Scrapbook

Amniotic fluid bilirubin values are at best an indirect evaluation of the state of disease. No serious complications are likely to occur when these values fall in the lower or lower mid-zones of the Liley chart. When bilirubin values fall in the upper midzone or upper zone, cordocentesis should be performed to prevent overreaction or to perform an INTRA UTERINE TRANSFUSION.

draditithegreat · Credits: 1247960 My Scrapbook

a chart that uses the spectrographic measurement

of amniotic fluid bilirubin levels plotted against

gestational age to estimate the severity of fetal

hemolysis resulting from Rh isoimmunization.

The chart is divided into three zones; a

measurement falling in zone 1 indicates no disease

or mild disease, while one falling in zone 3

indicates severe disease with impending fetal

death.

draditithegreat · Credits: 1247960 My Scrapbook

drprasu · Credits: 5745 My Scrapbook

if

zone 1 = repeat amniocentesis at 2-4 wks

lower zone 2 = repeat amniocentesis at 1-2 wks

upper zone 2 and zone 3 = intrauterine transfusion
or
delivery depending on gestational age

timing of delivery

zone 1 = 38 - 40 wks

lower zone 2 = 36 - 38 wks

upper zone 2 and zone 3 = 34 wks

draditithegreat · Credits: 1247960 My Scrapbook

u r too gud drprasu!!!!!

nazia_k · Credits: 2890 My Scrapbook

yea its Intrauterine tranfusion
(refrence turnbull obtetrics,as well as highrisk pregnancy)

iioo · Credits: 257 My Scrapbook

very glad to see drprsasus transperency of answering ..difficult discription very nicely told

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