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Re: Ob:  Preterm labor From: Richard D. Kaplan (rkaplan@triad.rr.com) Mon Jan 29 07:17:54 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Meisel Richard L.: "Re: Progesterone for prevention of preterm birth" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Ob: Preterm labor" Next in thread: ljmidwife@aim.com: "Re: OB: Preterm labor" Reply: ljmidwife@aim.com: "Re: OB: Preterm labor" I am a believer in evidenced based medicine and I believe that "preterm labor" is overdiagnosed and overtreated. Having said that, I expect that we all have had that one patient with a 3 cm/effaced cervix, 0 station, who with hospitalization and/or terb. pump managed to carry the pregnancy to 36 weeks and delivered as soon as she got up and about or as soon as the pump was stopped. I guess I'm trying to say that just because it is hard to prove that tocolysis "works" statistically, that doesn't mean that it might still be beneficial in some select cases. Richard Kaplan, M.D. Greensboro, NC > ----- Original Message ----- From: DoctorJoe@aol.com To: Multiple recipients of list OB-GYN-L Sent: Sunday, January 28, 2007 11:10 PM Subject: Re: Ob: Preterm labor In a message dated 1/28/07 7:46:32 PM, johnprov@sympatico.ca writes: 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. True, but that wasn't the question. Joe P. "Chuck Norris has two speeds ... walk and kill." Next message: Meisel Richard L.: "Re: Progesterone for prevention of preterm birth" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Ob: Preterm labor" Next in thread: ljmidwife@aim.com: "Re: OB: Preterm labor" Reply: ljmidwife@aim.com: "Re: OB: Preterm labor"

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