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Re: Tocolysis.From: MNudel@aol.comThu Oct 26 16:23:38 1995
David Nagey writes: < may I respectfully submit that the cost will be even lower if < you don't treat < the condition at all, and instead await cervical change? I agree, however, in a woman contracting one needs to see her in order to assess for cervical change. To me this means the patient must be evaluated in L and D if its in the middle of the night. Herein lies the dilemma. Should we use an inexpensive medication, ie., po terb, prophylactically to prevent an expensive evaluation only hospital visit which is likely to yield an unchanged cervix, or is it better to be academic about it and only use "proven" tocolytics to stop "real" preterm labor. This, I think, is an approriate role for po tocolytics. I agree that aggressive tocolysis should be used only after documented cervical change. Although I'm sure this is can of worms in itself. Mitch
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