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Re: preterm labor case From: Bernard Cristalli (bcrist@club-internet.fr) Tue Mar 2 23:16:13 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ken Turkowski: "Re: Netiquette" Previous message: ATB28@aol.com: "Re: preterm labor case" Maybe in reply to: mark withrow: "preterm labor case" Next in thread: charlie chambers: "Re: preterm labor case" Everything seems fine. -- mark withrow a écrit: > 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 -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm http://www.cliniquedelessonne.fr/ Next message: Ken Turkowski: "Re: Netiquette" Previous message: ATB28@aol.com: "Re: preterm labor case" Maybe in reply to: mark withrow: "preterm labor case" Next in thread: charlie chambers: "Re: preterm labor case"

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