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F/UFrom: Efrain Ramirez (eramirezt@coqui.net)Fri Sep 16 18:57:30 2005
At Mon, 12 Sep 2005, Efrain Ramirez wrote: > >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~ >
-- "Character may be manifested in the great moments, but it is made in the small ones."
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