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Re: preterm labor caseFrom: ATB28@aol.comTue Mar 2 21:12:49 1999
In a message dated 3/2/1999 6:42:59 PM Pacific Standard Time, kwithrow@sunrisenet.com writes: << I have a 27 yo white female g1po who presented at 31 weeks gestation with cervical effacement and dilitation. Her cervix on transvaginal ultrasound was 1.4cm long and was dilated to 2.5cm. She was not feeling any contractions at the time but when monitered was noted to have very mild contractions. She was given one dose of subQ terb., steroids, and antibiotics. The contractions subsided immediatedly with the terb and have not recurred for 2 weeks now. There has been no further cervical change either. I obtained salivary estriol and fetal fibronectin samples both of which were negative. I also gave her 48 hours of indocin for the "occult preterm labor" she has no medical problems and has had no surgery Her mother delivered precipitously twice once at home after two contractions. Her grandmother lost a child at 32 weeks and a maternal aunt lost a child at 22wks with probable incompetent cervix. What does everyone think about the management from here on out? Currently she is not on complete bedrest given the normal salest and fetal fibronectin. She is not on any oral tocolytic either. Thanks
--
Mark withrow
>> Have you thougth about BV? Allan Bombard
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