Re: Ob:  Preterm labor

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sun Jan 28 19:37:02 2007


With respect to bedrest, we all know it only treats the doctor and the mother, but not the condition.

I suspect that many of us tell patients to curtail activity to some degree, depending on their job/situation. It seems like a reasonable thing for most patients, if only to avoid the guilt of preterm delivery if they DIDN'T limit themselves, though we all tell them that their action (or lack of action) probably makes no difference.

Garry

At Sun, 28 Jan 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>At Sun, 28 Jan 2007, DoctorJoe@aol.com wrote:
>>
>>In a message dated 1/28/07 3:41:16 PM, johnprov@sympatico.ca writes:
>>
>>> I still recomend women who have had prevoius preterm delievers go off
>>> work particularly if they have had a previous preterm loss, anyone who
>>> believes that anxiety and a stressfull work environment does not
>>> contribute to preterm labor and maybe even pregnancy losses has not
>>> taken care of enough Mom's, Dito for a stressfull family and home
>>> environment. 
>>>
>>Is that documented in the literature anywhere?
>>
>>I've seen patient complain in legal papers that the doctor "made them" quit
>>work and it was such a hardship and they lost money yada, yada, yada.
>>
>>If you're going to condemn using, say, terbutaline because the literature
>>nd
>>bedrest and all? Does it work?
>>
>>Joe P.
>
>Joe there is a difference between telling a mom to stop work and having
>a mom come in and tell you she feels stressed out at work.
>
>--
> Take care, John
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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