Re: Premature labor
From: art fougner, md (evsono@pipeline.com)
Fri May 8 08:03:56 1998
Suggest stopping all meds, look for evidence of infection, and watch out
for abruptio. Good luck!
Art
At Thu, 7 May 1998, JACSON SILVA , MD wrote:
>
>Hi !
>First of all I want to introduce myself : I am Jacson , a 32 year old
>Brasilian Cardiologist .
>Case : My wife , who is 32 years old is having her second pregnancy . In
>the first pregnancy there was no embrio , and she was submited to a
>"curettage " at the 12 week of gestation . This was 2 years ago .
>Now she is pregnant again . Her last mestrual period was 09/23/97 , at
>04/01/98 she start with 4 to 6 contraction each day ( painless ) , her
>gynecologist asked her to observe . At 04/06/98 she started with 2
>contractions each hour , and her cervix was thin but not open . She was
>hospitalized , put on rest and started with terbutaline EV plus
>corticosteroid IM . Seven days later she was still with 2 contractions
>per hour , but her cervix was not thin anymore ( and it was yet closed )
>. She started with Indometacin ( 300 mg in the first day , and more 4
>days with 200 mg each day ) ( she made an fetal echocardiography and
>there was no premature closure of Ductus Arteriosus ) . But it was not
>effective and she continued with 2 or 3 contractions per hour . She
>stopped Terbutalin EV for 5 days , and started it again for more 12 days
>. Now she is with Salbutamol 4 mg quid , and she is with contraction
>each 5 to 15 minutes ( it lasts 30 sec each ) . Her cervix did not
>changed ( it is closed ) .
>Some fetal ultrasounds was perfomed , she has a female fetus , it
>wheights aproximately 1.8kg .
>What do you suggest ?
>I known that my English is not good , but I hope you can understand me .
>Thank you very much
>Jacson Silva , MD
>http://www.geocities.com/HotSprings/7888
>
>--
>Jacson Silva , MD
>http://www.geocities.com/HotSprings/7888
>
--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com
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