PREGNANCY-BIRTH Messages for May, 1999: Re: 23weeks preterm labor and on brethine

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Re: 23weeks preterm labor and on brethine

From: Kathy (anonymous@obgyn.net)
Mon, 17 May 1999 15:28:40 PDT

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The Brethine is fine with pregnancy. We use it alot. The elevated heart rate and other side effects will improve in a week or two when your body adjusts to the med. As for when a baby can survive with med treatment, I wouldn't want to take any chances. There are always those cases where babies survive at very young gestational ages, but there are also many that do not. I would say to be on the safe side, try for 35 weeks. That's when we normally discontinue the Brethine. As for the steroids, they really don't make the baby grow, they help to mature the organs like the lungs so they will function better at their young age, if delievered. Remember, the very best incubator in the world is the womb (uterus), until such a point that the uterus can no longer provide the fetus with the O2 and nutrients it needs. So try to keep it in there as long as possible. What else can you do? Pay attention to your level of activity and the presence of contractions. If contractions start, slow down. Drink plenty of fluids. The uterus is a muscle, when muscles get low on fluid they cramp, the uterus will too. Since summer is on the way, remember to drink more when you are going to be out in the heat. Also, if you contract after sex, decrease it's frequency or maybe it's intensity. Serum contains prostaglandin like properties, which is often used to initiate labor. This does not mean you have to cut it out, just modify it until you can accomplish it without contractions. I'm no expert, but these are things we tell our patients whom we send home on Brethine who have had preterm labor. Hope this helps..........Kathy

You may reply to me at: <kat52gre@excite.com>

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Next message: D. Ashley Hill, M.D.: "Re: Cervix concerns"
Previous message: Deirdre: "Dr. William F. von Almen statement"
Maybe in reply to: Tanya: "23weeks preterm labor and on brethine"

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