Re: MgSO4 Bottom Line
From: Andrew Folley (agfolley@hotmail.com)
Sun Jun 12 09:21:22 2005
David
I think the literature is pretty defiini8te about the value of shrotened
cervical lengths (ie less thatn 25mm at 24 weeks) and the increased risk of
preterm delivery prior to 34 weeks. The same for FFn. If negative you can
be fairly assured the patinet is not having a baby in the next two weeks at
least not or Preterm labor. andrew
>From: David Rivera <cuurmudgeon@sbcglobal.net>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: MgSO4 Bottom Line
>Date: Sat, 11 Jun 2005 16:17:33 -0500
>
>Can anyone honestly tell me cervical lengths mean anything and fetal
>fibronectin isn't a colossal waste of money???
>
>Andrew Folley <agfolley@hotmail.com> wrote:Thaks for the input on MgSO4. It
>sounds like MgSO4 is good for 48hours to
>allow steroids to work.
>Give for women having contractions with changing cervix or shrotened cervix
>(,25mm) or Positvie fetal fibronectin?? No point in restarting Mg when
>patient has contractions during her hospital stay??
>andrew
>
> >From: "R. Daniel Braun"
> >Reply-To: ob-gyn-l@obgyn.net
> >To: Multiple recipients of list OB-GYN-L
> >Subject: Re: MgSO4 questions
> >Date: Sat, 11 Jun 2005 14:08:29 -0500
> >
> >Thanks for that support. Do you remember where that was?
> >Dan
> >
> > On 6/11/05, DoctorJoe@aol.com wrote:
> > >
> > > In a message dated 6/10/05 8:39:08 PM, rd.braun@gmail.com writes:
> > >
> > > No, actually that is "Threatened Preterm Labor" and is the only thing
> >that
> > > any of our medications* MIGHT* do anything to. Once you have "Labor",
> > > nothing does anything. Interestingly there are multiple studies out
> >there
> > > showing that all of the medications you mentioned are as effective as
> >every
> > > other one of them. Nifedipine has the lowest incidence of side
>effects.
> >BTW,
> > > none of those studies compared anything against PLACEBO. Personally, I
> >think
> > > that none of them are any better than placebo. Again that is my own
> >humble
> > > opinion and no better than yours that MgSO4 is the best.
> > >
> > > There was a paper by Zalar to support this. Problem is, it takes more
> >work
> > > and astuteness by the doc to find and defreat TPTL than just waiting
>for
> > > "real" PTL. So you start off behind the 8-ball.
> > >
> > > Joe P.
> > >
> >
> >--
> >R. Daniel Braun
> >Kinky for Governor
>
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