Re: procardia for chronic tocolyis

From: Andrew Folley (agfolley@hotmail.com)
Wed Oct 29 09:44:53 2008


Questioning the benefits of leaving on procardia until 34 weeks? ie In the interest of evidenced based medicine are are we treating the patient or the physician?> Date: Wed, 29 Oct 2008 10:03:42 -0500> From: el@lisse.NA> To: ob-gyn-l@mail.obgyn.net> Subject: Re: procardia for chronic tocolyis> > I keep them on Nifedipine 10mg 8hourly for a while under the assumption> that it increases bloodflow to the uterus and has virtually no side> effects.> > What's the issue?> > el> > > on 10/29/08 4:46 PM Andrew Folley said the following:> > Does anyone use procardia on a chronic basis for patients syptomatic> > with prematrue labor?> > Typically we will have someone admitted with PML and short cervix (ie> > <15mm) and they receive procardia and steroids. Usually are then left> > on procardia 10-20mg q 6 hrs indefinitely. Is this a routine anywhere> > else and is there any danger in this? I am familiar with cochrane study> > showing no befefit to chronic tocolysis. andy>




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