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Re: Cervical insufficiency vs preterm uterine contractions or both?? From: Efrain Ramirez (eramirezt@coqui.net) Mon Sep 12 06:08:25 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rmodugno@aol.com: "Katrina & MDs" Previous message: DoctorJoe@aol.com: "Re: Katrina/Doctor Joe" Next in thread: Efrain Ramirez: "F/U" Reply: Efrain Ramirez: "F/U" Reply: Efrain Ramirez: "F/U" F/U – patient with twins 18 weeks – bleeding- short cervix, etc.. was discharged at 19 weeks and a few days on tocolotytics –seen at our office –since discharged - no further bleeding – fetuses Ok – it would be nice to see a RCT on twins with signs of preterm uterine contractions below 20 weeks been treated with standard tocolysis – it makes sense to me to lower the threshold of the gestational age on twins for the treatment with tocolytics – threatened abortion and preterm labor is a matter of semantics in these situations – IMHO… Thanks for your input.. I’ll keep you posted.. Ef >At Tue, 30 Aug 2005, Efrain Ramirez wrote: > >20 some years old G3, P1, Ab 1 (sab at 14 weeks) currently 18 weeks, >twins - mild bleeding a few days ago- hospitalized - placed on >antibiotics, Indocin- bed rest - Cx length 1.8 -- now at 2.45 - positive >fFN. .. her fundal height is obviously > 20 weeks size - one of my >partners was in favor of doing a cerclage because he believes she has >cervical insufficiency - I do not favor it .. It's my understanding >that she has premature contractions - my question is - would you give >tocolysis e.g. Procardia now or would you go by the book and wait until >she has 20 weeks .. > >-- >"Character may be manifested in the great moments, but it is made in the >small ones." > > - Phillip Brooks > > ~walt whitman~ > -- "Never mistake knowledge for wisdom. One helps you make a living; the other helps you make a life." "The greatest obstacle to discovery is not ignorance - it is the illusion of knowledge. Daniel J. Boorstin (1914 - ) ~walt whitman~ Next message: rmodugno@aol.com: "Katrina & MDs" Previous message: DoctorJoe@aol.com: "Re: Katrina/Doctor Joe" Next in thread: Efrain Ramirez: "F/U" Reply: Efrain Ramirez: "F/U" Reply: Efrain Ramirez: "F/U"

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