Re: To Tocolyze or Not Tocolyze, That Is the Question. Was Tocolysis vs. Placebo (was Magnesium Sulfate increases

From: Bernard Cristalli (bcrist@club-internet.fr)
Mon Dec 29 05:39:05 1997


Michael J. Wolpmann, M.D. wrote: >

> a 26 year old G2P1 at 35 weeks by dates, 34 week by ultrasound rolls in
> contracting q 4-5. She has a cerclage in place, ..., membranes intact. She
> will not consider VBAC, wants a section which other doctor has scheduled
> for 38 weeks.
> U/S EFW is 2300 grams, grade 3 fundal placenta, normal scan.
>

--
> How are you going to manage her?

Take that cerclage off

> Tocolyze her?

No

> Go straight to section?

No, but informed consent

> Steroids not clear benefit after 34 weeks,

Steroids: yes. You're (she is) at 34, no clear benefit means no clear disadvantage. >





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