Re: Mag Sulph for prem labor

From: John G. M. Robertson (jgmr@unixg.ubc.ca)
Sun Nov 23 13:54:39 1997


First it would appear that I cannot go to the site without a password - so I didn't. With respect to MgSO4 for tocolysis - from my reading what has "been established" is that it is no better than placebo for tocolysis. I therefore stands to reason that if you have a medication that has ANY side effects and is no better than placebo that it makes no sense to use it.

I use indomethacin to 32 weeks, I will then use whatever the MFM specialist requests (everyone under 34 weeks in prem labour gets transferred out, everyone over 34 weeks is allowed to deliver).

J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894)

--
----------
> From: Jason Gardosi <jason.gardosi@nottingham.ac.uk>
> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
> Subject: Mag Sulph for prem labor
> Date: Sunday, November 23, 1997 6:26 AM
>
> I'd be interested to hear the views of those who are familiar with the
> use of Mag Sulph for prem labor, in view of preliminary findings of an
> RCT in Chicago, published in this week's Lancet.
>

http://www.thelancet.com/lancet/User/vol350no9090/letters/research.html#isto colytic > > 'The overall safety and efficacy of MgSO4 in term-gestation > pre-eclampsia are well established. However, we are concerned that > MgSO4 used in very preterm labour, mainly as a tocolytic, may be > associated with increased total paediatric mortality'. > > Jason > > -- > ************************************************* > Jason Gardosi, MD > PRAM, Queen's Medical Centre, Nottingham, U.K.

> http://www.nottingham.ac.uk/obgyn/PRAM/





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