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Re: MgSO4 -- Magnesium Sulfate -- As A Tocolytic From: Steve & Eryl Raymond (eryl@intekom.co.za) Tue Oct 29 14:30:54 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: coding question" Previous message: Kevin D. Dew: "Re: coding question" Maybe in reply to: Dean Huffman: "MgSO4 -- Magnesium Sulfate -- As A Tocolytic" Next in thread: Eberhard Lisse: "Re: MgSO4 -- Magnesium Sulfate -- As A Tocolytic" Reply: Eberhard Lisse: "Re: MgSO4 -- Magnesium Sulfate -- As A Tocolytic" We have almost exclusively used "Ipradol" for tocolysis (Hexoprenaline) routinely. This has only ever been thought of as a means to buy enough time to administer steroids for prevention of RDS, hence not maintained for more than 24 -36 hours. The addition of an indomethacin suppository is often advocated and may be repeated for up to 5 days on an 8 - 12 hourly basis. I personally have never been convinced that MgSO4 showed enough promise, and have never been convinced of the superiority of nifedipine over betastimulants either. Further, we never use any tocolytic after 35 weeks now. stray Dean Huffman wrote: > I have quite a bit of confusion as to what to use. I have not seen > convincing evidence for the benefit of any tocolytics, at least beyond 48 - > 72 hours. There is some suggestion that oral procardia might be of some > benefit. > > What are others of you doing out there for tocolysis? Is anybody using the > terbutaline pump? Is anybody using oral agents? Is anybody using nothing at > all. > - - - - > > At 05:59 AM 10/22/2002 -0500, you wrote: > > > >If one chooses to treat premature labor in order to get steroids on > >board, what is now being used, if Magnesium is to be dropped? > > > >Oral Nifedipine? Terbutaline?? Other? > > > >Garry > >Garry E. Siegel, M.D. > >Private Practice > >Roswell, GA -- Dr.S.H. Raymond Head of Department of O & G Empangeni Hospital South Africa 3880 Phone: (+27) 35-9028560 Fax: (+27) 35-7922596 Next message: Garry E. Siegel, M.D.: "Re: coding question" Previous message: Kevin D. Dew: "Re: coding question" Maybe in reply to: Dean Huffman: "MgSO4 -- Magnesium Sulfate -- As A Tocolytic" Next in thread: Eberhard Lisse: "Re: MgSO4 -- Magnesium Sulfate -- As A Tocolytic" Reply: Eberhard Lisse: "Re: MgSO4 -- Magnesium Sulfate -- As A Tocolytic"

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