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Re: procardia for chronic tocolyisFrom: Andrew Folley (agfolley@hotmail.com)Fri Oct 31 07:36:36 2008
Steve, I have been arguing for a while that in woman with PML and a short cervix ie (<15mm) if her FFN is negative lets dont give steroids at all. Rational being why waste the steroid shot. She may need it later on. Assuming the steroids are most effective for 14 days and afterwards newborns do not do any better than there peers. Any thoughts from anyone? Date: Thu, 30 Oct 2008 18:59:04 -0500From: Stephen.Raymond@dhhs.tas.gov.auTo: ob-gyn-l@mail.obgyn.netSubject: RE: procardia for chronic tocolyis No benefit in keeping people on a so-called tocolytic beyond the steroid course, so the danger is you’re wasting money and resources. In such cases a Fetal Fibronectin is a useful way to gain confidence, and (if you really want to use tocolytics long term) you most definitely shouldn’t for someone with a negative Ffn. We don’t use tocolytics after the steroids are given. Steve Raymond Ph (03)62227898 Cell 0438372395 From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew FolleySent: Thursday, 30 October 2008 1:47 AMTo: Multiple recipients of list OB-GYN-LSubject: RE: procardia for chronic tocolyis 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 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.
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