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Re: 16w2d &Contractions. Seeking several opinions plz.

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 16 Jan 2000 10:31:59 -0600 (CST)


At Sat, 15 Jan 2000, Lisa wrote: >
>I am 16week 2days and I am having contractions. I had this prob with my
>first pregnancy the whole time..spent nights in hospital under
>observation several times. Bed rest at 34 weeks w tributelein(sp?). Had
>son at 36 weeks. When I had the contractions there was no pain but I
>had a sort of breathless pulling sensation. I started feeling that
>around 13 weeks this time(Not sure about last time), however I could not
>feel my uterus and was not sure but when I mentioned it to my doc he
>said "nope, not likely" and that was the end of it. Well since last
>week I can feel my uterus and I can feel that it is getting hard, lasts
>for a half minute or so and losens up again. I also have that
>sensation. This time though the sensation lingers mildly after it lets
>go but I just attribute that to muscular fatigue. Anyway I called my
>doc after a period of an hour and half of which I had about 8. He told
>me they were not contractions because if they were he'd be writing a
>paper because it doesn't happen and that my uterus is just irritable and
>that alot of it is just the baby moving. He of course told me what I
>already knew and that was to drink lots and lots of water but I am
>telling you my uterus is bunching up and then letting go...baby moving?
>Please! I would like to know what a doctor here thinks.

According to the literature, your doctor is correct. By definition, peterm labor cannot be diagnosed prior to 20 weeks. Irritability, on the other hand may be feeling what others dont feel but may be going on all the time. The idea that oral Terbutaline helped with bedrest (studies have shown over the last 25 years we have not changed the rate of preterm deliveries from preterm labor despite the therapy) speaks more to irritability or contractions everyone gets but most don't feel.

Good luck and feel well.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)




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