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Re: Tocolysis. From: Arthur C Fougner (evsono@pipeline.com) Thu Oct 26 11:34:45 1995 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: MNudel@aol.com: "Re: Tocolysis." Previous message: dahmd@gate.net: "Re: Vaginal laceration" how about the following - the infection precedes the appearance of cervical change, uterine irritability, prom, etc. it appears to date that evaluation of the vaginal flora, together with determination of fetal fibronectin holds promise for a more rational triage than HUAM, etc. another $0.02. acf On Thu, 26 Oct 1995 DoctorJoe@aol.com said: ><<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. > >************************************************* Next message: MNudel@aol.com: "Re: Tocolysis." Previous message: dahmd@gate.net: "Re: Vaginal laceration"

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