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Re: Prematurity management From: Braun, R. Daniel (rbraun@iupui.edu) Sun Feb 13 20:14:25 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Arthur W W Curtis, Jr.: "Re: Symphysiotomy for Shoulder Dystocia" Previous message: Garry Siegel: "OB: Prematurity management" I like your style. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: garrys@mindspring.com [mailto:garrys@mindspring.com] Sent: Sunday, February 13, 2000 10:10 PM To: Multiple recipients of list OB-GYN-L Subject: OB: Prematurity management Recent patient matters have tended to make me less inclined to get excited about premature labor, and I wanted to air these thoughts out and get others' feelings. We know that 1. Our interventions to prevent preterm birth haven't done squat. 2. Steroids are about the only therapy that may decrease morbidity/mortality. 3. Oral tocolytics don't work, and IV tocolytics are only good enough to get steroids on board. 4. 34 weeks and up ultimately do just as well as term. 5. 32 weeks and up do really well, too. 6. No one has shown there to be a role to treat contractions without evidence of cervical change, ie so-called premterm contractions. I've been much less inclined to use oral tocolytics than in the past, as we all were raised to do. Furthermore, I'm disinclined to treat anyone over 34 weeks, even though I see people get SQ terb, etc. for preterm contractions at 35 weeks. What are you guys thinking? Garry -- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice Next message: Arthur W W Curtis, Jr.: "Re: Symphysiotomy for Shoulder Dystocia" Previous message: Garry Siegel: "OB: Prematurity management"

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