PREGNANCY-BIRTH Messages for December, 2002: Re: Terbutaline's side effects on my baby

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Re: Terbutaline's side effects on my baby

From: samir fouad Aziz MD (anonymous@obgyn.net)
Tue, 31 Dec 2002 08:02:37 -0600 (CST)

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Previous message: Katya: "Re: Terbutaline's side effects on my baby"
In reply to: Sue: "Terbutaline's side effects on my baby"

At Mon, 30 Dec 2002, Sue wrote: >
>I am a 31yo late in my 32nd week, pregnant with my second child. I was
>given one shot of terbutaline to stop contractions. They assured me
>there would be no adverse effects on my baby, but now I am not feeling
>so sure. I have read numerous things to the contrary. I do not know
>the dosage I was given, but it was only one injection. Would a morphine
>shot have been just as effective? Does morphine pose the same side
>effects? Which one is the better choice with regard to effectives and
>adverse effect on my baby -- should I have to make this decision again.
>Please help me I am very worried. My first born has a neurological
>disorder with unknown origin. I am very mindful of the effects any
>drugs on my baby and well, basically, everything scares me.
>
>Thanks so much for your time.

Tuerbutaline is acting on a specific receptore in the uterine muscle(B-receptor),this leads to inhibition of uterine muscle contraction and help prevent preterm labour,it also affect the same respotor in the heart causing palpitation,but no deleterious effects on the baby.Morphine has no role in preventing preterm labour and we should not compare both drugs as they are totally different in this situation.the uterus is the best incubator for the baby,and as long as you do not have severe palpitation and there is no indications for early delivery e.g infection it is better to continue taking this tcolytic(terbutaline)

--
SAmir Fouad Aziz MD
Assist Professor OB.Gyn
Director Gyn.oncology
Al-Azhar University-Egypt
Editorial advisor OBgyn.net(P&B,Gyn.Oncology)
Consultant Editor the contemporary Who's Who
This is for teaching purposes only

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