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Re: Tocolysis.From: Charlie Chambers (cchamber@IC.Owatonna.MN.US)Sat Oct 21 11:38:56 1995
Glad to start hearing people's reluctance to use tocolytics, I don't use oral terbutaline on d.c. To date, there are three randomized controlled trials looking at oral terbutaline, at best, 24-48 hrs. worth of prolongation can be achieved. In my mind, the effectiveness of terbutaline isn't even a controversy. All sort of interventions exists to "treat" patients: HUAM, terbutaline, ritodrine, nifedipine, indocin, sulindac, MgSo4, bed rest. These can be used in an endless permutation but the question becomes: "what evidence exists that these work"? Anecdotally, we can all come up with the patient who went to term.
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