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Re: Questions about Terbutaline/Brethine - confused with response

From: M. Kelly Shanahan, MD, (anonymous@obgyn.net)
Fri, 29 Jun 2001 19:20:10 -0500 (CDT)


At Fri, 29 Jun 2001, anonymous@obgyn.net wrote: >
>>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???)

fi there is not any cervical change it is not preterm LABOR, but just annoying preterm contractions -- the problem is it is impossible to predict whcih contractions will lead to cervical change, making cervical checks necessary. There are some newer tools (salivary estriol and cervical fetal fibrinectin swabs) that can help us predict which women are at low risk of rpeterm delivery and therefore, do not need treatment >

--
M. Kelly Shanahan, MD, FACOG
South Lake Tahoe, CA

author, Your Over-35 Week-by-Week Pregnancy Guide available in all major bookstores and on-line at amazon.com http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069

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