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34.3 weeks - possible PTL

From: mz (anonymous@obgyn.net)
Sat, 3 Aug 2002 00:51:09 -0500 (CDT)


I just got home yesterday after spending several days in Labor & Delivery. I am currently 34.3 weeks along with my fifth (and final) pregnancy (we have four kids). Two weeks ago at my 32 week visit I was told I was 1-2 cm dilated and 40% effaced and I was put on Terbutaline to stop my contractions (not uncomfortable although I could feel them at the time).

A week later I had strong, regular contractions and they found I was 2.5 cm dilated and 60% effaced. I was admitted to the L&D and they finally stopped my contractions with Magnesium Sulfate, although while I was on the mag I was still contracting regularly (even with Terb shots while on magnesium). I also received two steroid shots for the baby's lungs.

Upon discharge, my cervix was still 2.5 and 60%.

My question: 1. Could I have built up a tolerance to the Terbutaline medication? It does not stop my contractions any more (both shot and oral).

2. Is there a specific condition related to my situation? i.e Long periods where I have strong contractions and then they just stop (slowly dilating the cervix but not drastically?). I was told this is not prodromal (sp?) labor since I am technically PTL.

3. If I go into labor now (after all the steroid shots, etc.) will my baby be ok?

Just looking for some answers. I am quite confused as to what happened to me last week. This is different from my last pregnancies and I am concerned about the inconsistent episodes of contractions that I am experiencing. I never know when to call and I don't want to call too late as I have also experienced preciptious labor and it is worrying me.

Thank you.




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