Re: 36+ weeksBHC vs early labor

From: David Rivera (cuurmudgeon@sbcglobal.net)
Sun Jun 12 10:10:15 2005


I see no reason to tocolyse anyone after 34 weeks, but, since I'm an intinerant, I inherit these problems.

The Vasodilan was so he wouldn't get annoying phone calls. Had nothing to do with tocolysis. And the number of women I've seen go postdates after tocolysis told me they werent in PTL or even TPTL and didn't need it in the first place.

DAR

Len2976@aol.com wrote: DAR--

Most of the OBs I've worked with D/C terbutalineor procardia at 34-36 weeks and will not initiate treatment (terb, MgSO4) for PTL on a patient presenting with symptoms/cervical change after 34 weeks. I do recall working with some years ago who used either vasodilan or brethine (p.o.) as you describe (from 26-28 weeks till 37 weeks), but I also remember studies indicating that the effectiveness of delaying labor was no longer than 1-2 weeks after started for patients really at risk for PTD. I also remember a lot of complaints from patients about side effects and it was not unusual to stop the med and then have the patient go beyond 40 weeks and be induced.

Lenora McCall, CNM





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