Re: Total Previa
From: Charlie Chambers (ricechaz@me.com)
Mon Dec 29 09:51:03 2008
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If I recall, the data as it relates to MgSO4 and IVH is more
compelling than for steroids.
**************************************************************************
Charlie Chambers
Hood River, OR USA
--
cchamber@alumni. rice. edu
"I'm a goin fishin.
Yeah, I'm goin fishin
And my baby's goin fishin too!"
Taj Mahal
************************************************************************
On Dec 29, 2008, at 8:16 AM, R. Daniel Braun wrote:
> A. I was not referring to repeat dosages, only a course within the
> last 7 days.
> B. I don't remember where the IVH info came from, but I will try to
> find it.
>
> Dan
>
> On Mon, Dec 29, 2008 at 10:44 AM, Dr Eberhard W Lisse <el@lisse.na>
> wrote:
> Dan,
>
> Single dose is mandatory, in prematures one may repeat so around
> every 10 days but
> I can't find any evidence to support reduction of IVH in non
> prematures, ie 35 weeks
> as in this case. I can also not find anything about repeat dosages
> lowering IVH.
>
> Does the incidence if IVH differ between vaginal delivery and
> vaginal bypass?
>
> el
>
> On 29 Dec 2008, at 15:39 , R. Daniel Braun wrote:
>
> On Mon, Dec 29, 2008 at 1:06 AM, Dr Eberhard W Lisse <el@lisse.na>
> wrote:
>
> Do repeated dosages of steroids work? Do they work after 34/40?
>
> Yes. After 34 weeks, they don't increases lung maturity much.
> However they
> do decrease the incidence of IVH. In fact today with the advances the
> neonatologists have made in treating HMD, they can do as well without
> steroids as with. The big thing steroids do (that neonatologists
> can't) is
> to prevent IVH
>
> Dan
>
> --
> R. Daniel Braun, MD FACOG(L) ABMP CMTh
> Professor Emeritus
> Dept. of Obstetrics and Gynecology
> Indiana U. School of Medicine
>
> R. Daniel Braun
>
> "Science without Religion is LAME; Religion without Science is
> BLIND"
> Einstein 1941
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If I recall, the data as it relates to MgSO4 and IVH is more compelling than for steroids. **************************************************************************
Charlie Chambers
Hood River, OR USA
cchamber@alumni. rice. edu
"I'm a goin fishin.
Yeah, I'm goin fishin
And my baby's goin fishin too!"
Taj Mahal
************************************************************************
On Dec 29, 2008, at 8:16 =
AM, R. Daniel Braun wrote:
A. I was not referring to repeat dosages, only a course within the last 7 days.
B. I don't remember where the IVH info came from, but I will try to find it.
Dan
On Mon, Dec 29, 2008 at 10:44 AM, Dr Eberhard W Lisse
<el@lisse.na> wrote:
Dan,
Single dose is mandatory, in prematures one may repeat so around every 10 days but
I can't find any evidence to support reduction of IVH in non prematures, ie 35 weeks
as in this case. I can also not find anything about repeat dosages lowering IVH.
Does the incidence if IVH differ between vaginal delivery and vaginal bypass?
el On 29 Dec 2008, at 15:39 , R. Daniel Braun wrote:
On Mon, Dec 29, 2008 at 1:06 AM, Dr Eberhard W Lisse <el@lisse.na> wrote:
Do repeated dosages of steroids work? Do they work after 34/40?
Yes. After 34 weeks, they don't increases lung maturity much. However they
do decrease the incidence of IVH. In fact today with the advances the
neonatologists have made in treating HMD, they can do as well without
steroids as with. The big thing steroids do (that neonatologists can't) is
to prevent IVH
Dan
--
R. Daniel Braun, MD FACOG(L) ABMP CMTh
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
R. Daniel Braun
"Science without Religion is LAME; Religion without Science is BLIND"
Einstein 1941
