Re: procardia for chronic tocolyis
From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au)
Thu Oct 30 18:04:26 2008
Your first sentence is nonsense - nothing works to give any benefit!
Steve Raymond
Ph (03)62227898
Cell 0438372395
________________________________
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
--
________________________________
Douglas Krell
Sent: Thursday, 30 October 2008 1:48 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: procardia for chronic tocolyis
I would treat her with whatever is working...
Procardia, Terbutaline, Magnesium Sulfate if necessary.
I usually give 24 hours at a minimum for the steroids to work.
If she has stabilized on Procardia, I would continue it until at least
35 weeks if you can.
Douglas Krell MD
________________________________
> Date: Wed, 29 Oct 2008 21:25:47 -0500
________________________________
> From: garrys@mindspring.com
> To: ob-gyn-l@mail.obgyn.net
> Subject: Re: procardia for chronic tocolyis
>
> In general, if I use Procardia for tocolysis, I'll keep them on it
until
> 35 weeks.
>
> Speaking for myself, I try not to use tocolysis unless there is
cervical
> change associated with contractions.
>
> That said, I recently had a set of 30w4d twins who was feeling
pressure.
> Her cervix was 0/50/-1 (very low) and an FFN was positive. She was
> irritable.
>
> Would you treat with Procardia or something else while giving
steroids?
>
> If she is stable after steroids, would you keep her on it?
>
> Garry
>
> At Wed, 29 Oct 2008, Andrew Folley wrote:
> >
> >Questioning the benefits of leaving on procardia until 34 weeks? ie
In the interest of evidenced based medicine are are we treating the
patient or the physician?> Date: Wed, 29 Oct 2008 10:03:42 -0500> From:
el@lisse.NA> To: ob-gyn-l@mail.obgyn.net> Subject: Re: procardia for
chronic tocolyis> > I keep them on Nifedipine 10mg 8hourly for a while
under the assumption> that it increases bloodflow to the uterus and has
virtually no side> effects.> > What's the issue?> > el> > > on 10/29/08
4:46 PM Andrew Folley said the following:> > Does anyone use procardia
on a chronic basis for patients syptomatic> > with prematrue labor?> >
Typically we will have someone admitted with PML and short cervix (ie> >
<15mm) and they receive procardia and steroids. Usually are then left> >
on procardia 10-20mg q 6 hrs indefinitely. Is this a routine anywhere> >
else and is there any danger in this? I am familiar with cochrane study>
> showing no befefit to chronic tocolysis. andy>
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA
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