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Re: Cervical Length questions From: David Rivera (cuurmudgeon@sbcglobal.net) Mon Jun 13 07:37:02 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Admitting labs, wasTocolytics" Previous message: David Rivera: "Re: Postdates was Reality OB" In reply to: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Cervical Length questions" Next in thread: Andrew Folley: "Re: Cervical Length questions" Reply: Andrew Folley: "Re: Cervical Length questions" Absence of fFH "predicts" the absence of labor, but it's still a crap shoot. Does it help or change your management or does it just give you a false sense of security? Elrod Darryl G MAJ 48 MDOS/SGOBO <Darryl.elrod@LAKENHEATH.AF.MIL> wrote: v\:* {behavior:url(#default#VML);}o\:* {behavior:url(#default#VML);}w\:* {behavior:url(#default#VML);}.shape {behavior:url(#default#VML);}st1\:*{behavior:url(#default#ieooui) } But fFN doesn’t really predict the presence of PTL as much as it predicts the absence of PTL. Right? --------------------------------- --------------------------------- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of David Rivera -- --------------------------------- Sent: Saturday, June 11, 2005 10:41 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Cervical Length questions THe problem is EVERYTHING is worthless in predicting preterm labor and birth. When we figure out what causes preterm labor, then we'll be able to do something about it. armando fuentes <afuentes@mindspring.com> wrote: Sorry, I have to jump in at this time. I teach both medical students and residents. My background is in academics and I NEVER believed in tocolytics until now. We completed our study and it will be published. We looked at symptomatic women between 24-34 wks with a +FFN and short cervix and found that if you agressively treat this group, their pregnancy is definitely prolonged compared to the group that you leave alone. However, if the cervical length is < 1.5cm, they will deliver prematurely despite tocolytics. We in Ob, have missed the boat, we have waited for digital cervical change to treat women and now we need to realize that digital exams are worthless in identifying women at risk for a preterm birth. A.Fuentes Asst Professor FSU College of Med >----- Original Message ----- From: "Andrew Folley" To: "Multiple recipients of list OB-GYN-L" Sent: Saturday, June 11, 2005 3:41 PM Subject: Re: Cervical Length questions > In Toledo, we seem to have gotten into the habit of checking a cervical > length on everyone who comes in preterm and contracting. If the cervix is > less than 25 mm they are pretty much admitted given MGSO4 and steroids if > less than 34 weeks and kept on bedrest in hospital until 34 weeks. I have > argued for using FFn as an adjunct and not to give steroids Mg or bedrest > unless FFn positive. > Any thoughts???andrew > Next message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Admitting labs, wasTocolytics" Previous message: David Rivera: "Re: Postdates was Reality OB" In reply to: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Cervical Length questions" Next in thread: Andrew Folley: "Re: Cervical Length questions" Reply: Andrew Folley: "Re: Cervical Length questions"

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