Re: Premature Amniorrexis

From: DoctorJoe@aol.com
Mon Mar 25 06:52:56 1996


<<Interesting that the use of tocolytics in discussed in this context when current agents haven't been shown to be of any benefit in run of the mill premature labor.>>

I'm still not convinced.

I think the existant literature (and practice philosophies) suffer from two serious flaws...

1) Either the tocolytics are used TOO LATE (e.g., after ROM or at advanced cervical dilation - see the Canadian ritodrine study),

OR

2) There is less than adequate technical knowledge about HOW to use tocolytics (and this gets sticky, when you get in to deep discussions about it).

My two pence.

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doctorjoe@aol.com "All things are connected. Joseph Pastorek, MD Some things are just more Department of OB-GYN connected than others." LSU Medical Center - Dirk Gently New Orleans, LA U.S.A.

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