|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: pharmacologic tocolysisFrom: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)Sat Nov 29 11:03:12 1997
In message <v0310280fb0a2457d9046@[155.100.126.232]>, "Joseph B. Stanford" <stanford@MSSCC.MED.UTAH.EDU> writes > >To my knowledge, no good RCT has ever examined this question: >can THREATENED preterm labor (TPTL) (regular contractions WITHOUT cervical >change) be effectively prevented from turning into ACTUAL preterm labor by >the use of any number of tocolytics. (Understanding of course that some >TPTL would never turn into PTL even spontaneously.) >This would require a RCT in which women who had preterm ctx WITHOUT >cervical change (TPTL) were randomized to a tocolytic or not and then rates >of "conversion" to actual PTL (cervical change) and subsequent preterm >delivery were the outcomes. >to my knowledge, such a study has not been done. someone please correct me >if I'm wrong. I *THINK* you're wrong. I looked up the register of trial on the Cochrane database (the list of trials not meta-analyses) and those with abstracts list subjects either as women in preterm labour showing cervical changes or as merely in preterm labour (unspecified). Clearly one would need to read all of the papers to be certain. My uderstanding had long been that preterm labourers without changes had been included in many studies. Anyone lese *KNOW*? Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])
|
|
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: Wed Dec 2 05:22:04 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.