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TerbutalineFrom: viv souter (vsouter@yahoo.com)Fri Nov 19 21:37:45 2004
Hi Hank I respect your feelings. However, I would like to hear what you feel is the evidence that longterm, subcutaneous terbutaline improves perinatal outcome? I like to think it may have delayed delivery for me but I really don't know (it could also have been the ibuprofen, nifedpine, Toradol or magnesium sulfate that I also was treated with!) Similarly I don't know of any well controlled longterm follow up studies in children exposed to continuous subcutaneous terbutaline in utero. However I found Terrence Jones reply very helpful in terms of the mechanisms involved and the dosing in the animal model used. I am not knocking ob's: the prevention of preterm delivery is the biggest challenge in ob. After personally having a preterm delivery, I appreciate the importance of it more than ever. Viv Henry Gregor <henrygregor@yahoo.com> wrote: If literature search results and personal consultations with perinatologists haven't met your concerns, than,IMHO, it is unlikely anything in this forum could add more relevant information. OTOH, a few friendly, anecdotal or specultive responses could sure 'cause the devil's own stew should your concerns rise to the level of a lawyer's attention. Quite conceivably that could happen should lawyers Google around enough on the topic. Of course, wouldn't think you, as an ObGyn, in England and w/o the American plaintiff's bar and our lottery tort system, would elevate it to such attention. However with a broad enough search and a broad enough citation of comments, such comments could be less than helpful not only for you, but well intentioned others as well. And, of course, my apologies for any impression of cynicism...however, after three thousand plus deliveries and no lawsuits, I offer divine thanks about every day for the useful qualities of cynicism as we all go about our obstetric activities. Hank "art fougner, md" <evsono@pipeline.com> wrote: The law of unintended consequences ... art
At Thu, 18 Nov 2004, viv souter wrote:
>
-- art fougner, md ich bin ein New Yorker
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