PREGNANCY-BIRTH Messages for June, 2001: Irritable uterus - was Questions about Terbutaline/Brethine ....

Irritable uterus - was Questions about Terbutaline/Brethine ....

From: SarahB (anonymous@obgyn.net)
Sat, 30 Jun 2001 11:02:44 -0500 (CDT)

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In reply to: M. Kelly Shanahan, MD, : "Re: Questions about Terbutaline/Brethine - confused with response"
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Reply: William F. von Almen, II, MD, FACOG: "Re: Irritable uterus - was Questions about Terbutaline/Brethine ...."

Thanks to all the doctors this past week who answered my questions about Terb and it's benefit to uterine irritability/pregnancy outcome. Just a few more related questions if you don't mind...

- In the presence of uterine irritability with minimal cervical change (long/closed to long/fingertip at 26 weeks) is it OK to partake in activities reasonable for any other pregnant woman like walking/swimming? (I have had episodes monitored at the hospital of contractions every 3-8 minutes and been given injections of terb) I haven't noticed any correlation between activity/lack of activity and number of contractions I get.

- Since I have had this for several weeks (I'm almost 27 wks) with little cervical change, does that make it less likely to turn into anything more or is the risk still the same (am I still at higher risk for preterm labor - with uterine irritabillty and one delivered at 31 weeks previously)?

>From data I read on this WEB site I was able to persuade my doctor to do
an u/s check of my cervix in 2 weeks... and then if it doesnt' look normal to do some of the other tests Dr. Shanahan mentioned. THanks for the info. SarahB

At Fri, 29 Jun 2001, M. Kelly Shanahan, MD, wrote: >
>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
>

--
SarahB

Next message: Josie: "Confused about due date"
Previous message: A.: "breasts in early pregnancy"
In reply to: M. Kelly Shanahan, MD, : "Re: Questions about Terbutaline/Brethine - confused with response"
Next in thread: William F. von Almen, II, MD, FACOG: "Re: Irritable uterus - was Questions about Terbutaline/Brethine ...."
Reply: William F. von Almen, II, MD, FACOG: "Re: Irritable uterus - was Questions about Terbutaline/Brethine ...."

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