|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Beta-mimetics>48h ( was No Subject )From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)Wed Jul 24 16:56:02 1996
In message <960724093213_440778455@emout12.mail.aol.com>, DoctorJoe@aol.com writes ><<Several of you asked what do I do after 48 hours of indomethacin and the >"patient is still contracting". > >My first question is whether she is changing her cervix. There is simply >NO DATA that ANY tocolytic works for longer than 48 hours. The era of >evidence-based medicine has arrived. IN fact, I believe we do our >patient's a disservice to place them on self-controlled terbutaline pumps >at $1000/week so that we can simply down-regulate their beta receptors. >The infamous pump has never been evaluated in a randomized trial despite >its widespread use. I applaud the consumer group that is seeking to have >us re-examine these costly unproven therapies. > >Ken Moise>> > >So Ken... the original question was, what do you do after 48 hours? Say the >contraction frequency is lower, but at 48 hours, you stop your indomethacin >and she starts contracting again and her cervix starts to change? I believe >someone asked you whether you call this a "new" episode and start over, or >continue what you already had. > >Joe P. > >P.S. I really didn't want to get into the "NO DATA...48 hours" discussion; >most RCTs, like the Canadian ritodrine study, are so bad that I think it is a >true statement that there is really no data that tocolytics DO NOT work >longer than 48 hours. Totally agree. IT'S THE STEROIDS THAT COUNT !!! ps. Can we please use suject lines that give us a clue to the contents - NO SUBJECT - I ask you ?!:-)
--
Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt
Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK.
Tel: 01582-497459 (office)
01525-222849 (home)
Fax: 01582-497424
email: Malcolm@mgriff22.demon.co.uk
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:19:00 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.