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Re: Tocolysis.From: DoctorJoe@aol.comThu Oct 26 10:36:24 1995
<<we do seem to be great at treating braxton-hicks contractions.>> The problem with overtreating "Braxton-Hicks contractions" or undertreating preterm labor is that the ultimate diagnosis is made retrospectively. Just because you treated "some" contractions and they went away doesn't mean you treated BH. By the same token, if you let someone "Braxton-Hicks" for a couple of weeks and their cervix doesn't change perceptively, but then they _rupture their membranes_ at 29 weeks (still with a relatively closed cervix - maybe it's a LITTLE more effaced) because of these two or three weeks of continued 'insignificant' contractions, you CAN'T write this off as "Well you see - she didn't have preterm labor, because her cervix didn't change much. But now she DOES have PROM, only it's NOT related to those insignificant BH ctx she had - she must have bacterial vaginosis or something." Joe P. doctorjoe@aol.com "All things are connected. Joseph Pastorek, MD Some things are just more Department of OB-GYN connected than others." LSU Medical Center - Dirk Gently New Orleans, LA U.S.A.
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