-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: A couple of questions From: zygote@ICSI.Net Mon Mar 9 11:13:10 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Stewart Pringle: "Re: Focal eclamptic seizures" Previous message: WD McIntosh: "Re: Large endocervical polyp" In reply to: mark decker: "Re: A couple of questions" > Date: Sun, 8 Mar 1998 22:46:24 -0600 > Reply-to: ob-gyn-l@obgyn.net > From: mark decker <mdecker@nconnect.net> > To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> > Subject: Re: A couple of questions >> they converted over some time back to using steroids after 32 weeks to 35 > if the other criteria of no infection are present. can't tell you when > they made the switch but I think it was over a year ago. some newer data > and or newer common opinion asa i remember led to this change in > philosophy. somebody help me out here. The issue of appropriate window beyond 34 weeks is not answered nor is it likely to be answered. The reason is that the studies to date asking the question of whether steroids help have used relatively small populations since the incidence of RDS is high in the preterm and VLBW fetuses. Given surfactant availability now and the 1000's of patients required to answer the question in a controlled prospective fashion, I do not believe it will be done. That raises the second issue as to when should you stop giving steroids. My answer is a simple one. If you beliweve either because of gestation age 34-36 weeks or even later with known immature pulm status per amnio, then can with rationale thought give steroids. The down side riskd are truly minimal. I am sure that there are some antisteroid gurus out there and I am sure they will reply to your post. Robert J. Carpenter, Jr. MD St. Luke's Medical Tower,#2720 6624 Fannin,Houston,Tx 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422 Next message: Dr Stewart Pringle: "Re: Focal eclamptic seizures" Previous message: WD McIntosh: "Re: Large endocervical polyp" In reply to: mark decker: "Re: A couple of questions"

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 05:27:24 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.