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Re: Short cervix progesterone and twins From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au) Mon Sep 29 18:07:27 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: 12 hour PROM and GBS" Previous message: Meenan, Anna: "Re: Can anyone please share their Spanish patient registration" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Short cervix progesterone and twins" Next in thread: Bernard Cristalli: "Re: Short cervix progesterone and twins" There seems to be some merit in the theory that twin pregnancies require double the dose of steroid given to singletons to have the same effect. Can't lay my hands on the reference right now but someone did a study on clearance of steroids in twins and found that it disappeared more quickly. Steve Raymond Ph (03)62227898 Cell 0438372395 -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. Sent: Monday, 29 September 2008 8:45 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Short cervix progesterone and twins At Mon, 29 Sep 2008, Andrew Folley wrote: > >Morning rounds yesterday. Residents have 28 weeks Di/Di twins with short cervix 12 mm. They have her on progesterone suppository 200mg q hs. >I say fine but no evidence to support benefit of progesterone suppos in twins. Benefit for delaying preterm birht only in singletons (de Fonseca NEJM august 2007) MFM disagress with me. Anyone know of any new articles study that show benefit for progesterone and twins? andy > >. As far as I know no evidence for use of progesterone in twins, most important thing here is to make sure MOM gets celestone, the the proof for celestone in twins is also not as rigourous as for singleton. -- Take care, John CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: Raymond Stephen: "Re: 12 hour PROM and GBS" Previous message: Meenan, Anna: "Re: Can anyone please share their Spanish patient registration" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Short cervix progesterone and twins" Next in thread: Bernard Cristalli: "Re: Short cervix progesterone and twins"

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