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Re: Anhydramnion From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Thu Feb 9 23:16:58 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: scope of practice" Previous message: Henry Gregor: "Re: VBAC immediately available policy" Maybe in reply to: Dr Eberhard Lisse: "Anhydramnion" Next in thread: GA12L@aol.com: "Re: OPD management?" Yes, Ipradol was the only tocolytic we had available in Empangeni - at least until the last twelve months when we were able to use Nifedipine. Like you I never saw side effects, but I did adhere to the RCOG guidelines and used it only until the steroids were in. I am convinced that there is no place for long term "prophylactic" use - not because of side effects, but because I don't think there is any evidence to show that it prolongs the pregnancy. The problem with prolonged rupture of the membranes is that a good proportion don't get amnionitis and don't go into labour for extended periods of time, but knowing which ones constitute that proportion is impossible until after the event. I would be monitoring WBC and temperature and of course frequent CTGs. Someone has already mentioned lung hypoplasia and I would be concerned about that, which means delivering when you think the chance of survival is big enough. And that depends on the quality of your neonatal service. Good luck. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr Eberhard Lisse Sent: Friday, 10 February 2006 5:35 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Anhydramnion John, I am checking her Full Blood Count, Glucose and U&E regularly. I monitor her temperature and parameters closely. I have, in 18 years of practice seen NOT ONE case of serious side effects on Hexoprenaline. Not a one. Even with Steroids. It's in fact the reason why I like it (if Adalat doesn't work). But I hear you and am wary... Steve, you have used Ipradol in Empangeni surely, what do you think? el on 2/9/06 12:55 PM Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. said the following: > You are using a betamemtic, hyperglycemia,hypokalemia,tachycardia, > pulmonary edema ARDS. If she turns septic by the time you realize it > she could have one foot in the grave, Mom comes first. Next message: Raymond Stephen: "Re: scope of practice" Previous message: Henry Gregor: "Re: VBAC immediately available policy" Maybe in reply to: Dr Eberhard Lisse: "Anhydramnion" Next in thread: GA12L@aol.com: "Re: OPD management?"

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