Re: Short cervix progesterone and twins

From: art fougner, md (evsono@pipeline.com)
Mon Sep 29 08:01:14 2008


And with higher order multiples, we're all reduced to Using The Force.

Art

At Mon, 29 Sep 2008, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>At Mon, 29 Sep 2008, Andrew Folley wrote:
>>
>>Morning rounds yesterday. Residents have 28 weeks Di/Di twins with short cervix 12 mm. They have her on progesterone suppository 200mg q hs.
>>I say fine but no evidence to support benefit of progesterone suppos in twins. Benefit for delaying preterm birht only in singletons (de Fonseca NEJM august 2007) MFM disagress with me. Anyone know of any new articles study that show benefit for progesterone and twins? andy
>>
>>.

>
>As far as I know no evidence for use of progesterone in twins, most
>important thing here is to make sure MOM gets celestone, the the proof
>for celestone in twins is also not as rigourous as for singleton.
>
>--
> Take care, John
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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