Re: Terbutaline
From: art fougner, md (evsono@pipeline.com)
Sat Nov 20 08:11:05 2004
As TJ so aptly put it, premature delivery is but a final common pathway
with many diverse etiological points of origin. More info is
desperately needed. The devil's in the details.
Just my opinion ... I could be wrong.
art
At Fri, 19 Nov 2004, viv souter wrote:
>
>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:
>>
>>Hi
>>I had weeks of terbutaline (SQ pump) during my pregnancy. Being an obgyn from the UK I was worried about taking this drug of uncertain efficacy. When I searched the literature, I was shocked by the adverse information about brain development in animals. I asked my perinatologists about this. They were not at all concerned about it and were very reassuring. I still have a lot of concerns about it...
>>Viv
>>
>>Efrain Ramirez wrote:
>>There will be a complete menu of them...
>>
>>http://vioxx.x.yi.org/
>>
>>>At Tue, 16 Nov 2004, Gary wrote:
>>>
>>>Thought you might find this website interesting:
>>>
>>>http://www.terbutalinelawyers.com/html/pretermlabor.html
>>>
>>>--
>>>Gary Kleinman, MD
>>>Bridgeport, CT
>>>
>>--
>>"The opposite of a correct statement is a false statement.
>>But the opposite of a profound truth may well be another profound truth."
>>
>>Niels Bohr (1885 - 1962)
>>
>--
>art fougner, md
>ich bin ein New Yorker
>
--
art fougner, md
ich bin ein New Yorker
