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Re: PreeclampsiaFrom: Geffrey H. Klein, MD (gklein@icsi.net)Mon Mar 29 11:00:26 1999
At 10:14 AM -0600 on 3/29/99, Braun, R. Daniel wrote:
> Yes and I don't have the refs at hand. Can somebody help me out? from Com Op Number 210, October 1998 Antenatal Corticosteroid Therapy for Fetal Maturation The Committee on Obstetric Practice supports the conclusions of the NIH consensus conference. The decision to administer corticosteroids may be based either on clinical circumstances likely to result in spontaneous preterm delivery within 7 days or complications likely to lead to a decision to perform preterm delivery within 7 days. Because of the possible adverse fetal effects and possible effects on maternal immune status of repeated, weekly courses of steroids, it seems reasonable to adopt a rescue approach to therapy in the treatment of preterm labor rather than a routine readministration regimen. Following the initial course of corticosteroids, repeated doses should be given only on an as-needed basis (ie, if the woman is re-treated for threatened preterm birth).
-- Geffrey H. Klein, MD geffrey.klein@obgyn.net 2200 Nasa Rd 1 #200 Houston, Texas 77058 (713) 741 2273 ext 2628
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