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Questions about Terbutaline/Brethine - confused with response
From: anonymous@obgyn.net
Fri, 29 Jun 2001 09:04:53 -0500 (CDT)
>From this can I infer that treatment of irritable uterus in the home is
not beneficial because it makes no difference in the outcome... is
there then any benefit or point to hospital treatment of more than 6 or
8 contractions an hour in the presence of no or minimal change in the
cervix (since I am getting the impression that if it is really preterm
labor starting you can't delay it that long - and if it isn't it will
stop on it's own???)
At Thu, 28 Jun 2001, R. Daniel Braun, MD wrote:
>
>At Thu, 28 Jun 2001, SarahB wrote:
>>
>>So I am confused by the good doctor's answer. I was under the
>>impression that as long as one had not dilated past 2cm that it was
>>possible to sort of stop or suspend preterm labor. Is he saying that
>>preterm birth is inevitable even with treatment or that all the
>>treatments are focused on the "prelabor" types of activities that can
>>lead up to an actual preterm labor ...
>
>He is saying that the same results can be obtained by giving a placebo.
>
>>At Wed, 27 Jun 2001, Lynn D. Montgomery, MD wrote:
>>>
>>>At Wed, 27 Jun 2001, SarahB wrote:
>>>>
>>>>Hi... Just noticed Dr. Montgomery's response about the efficacy of
>>>>oral Terb. I have been prescribed the pills to take PRN and have lately
>>>>been having to take them frequently.... they make me feel so awful.
>>>>
>>>>- How do doctor's treat frequent/early contractions if they don't
>>>>believe in the oral meds?
>>>>
>>>>- Are there any ways to reduce the number of contractions outside of
>>>>hospitalization? I have a long way to go yet (26 weeks and I have had a
>>>>31 week premie previously) and the hospital is not a "fun" place to hang
>>>>out.... (text removed for space)
>>>>
>>>>Is it common to have so many contractions (this early) and not have anything happen?
>>>>(I am hoping). (text removed for space)
>>>>
>>>>Thanks for your time and patience.
>>>>
>>>>--
>>>>SarahB
>>>>
>>>SarahB,
>>>There have been some studies that have demonstrated limited efficacy
>>>using Procardia (nifedipine;a calcium channel blocker). Unfortunately,
>>>there is nothing that works in delaying preterm birth in real preterm
>>>labor longer than 48 hours...
>>>Lynn
>>>
>>>--
>>>Lynn D. Montgomery, MD
>>>Director, Maternal-Fetal Medicine
>>>Rocky Mountain Perinatal Center
>>>Missoula, Montana
>>>
>>--
>>SarahB
>>
>--
>R. Daniel Braun MD
>
--
SarahB
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