PREGNANCY-BIRTH Messages for September, 1999: Re: Previa- Prenatl Steroid Use

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Re: Previa- Prenatl Steroid Use

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 21 Sep 1999 15:10:44 -0500 (CDT)

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In reply to: P: "Previa- Prenatl Steroid Use"

At Wed, 15 Sep 1999, P wrote: >
>I have a marginal placenta previa, have had constant bleeding from
>26-current 32 weeks. With the chance of premature delivery (in fact
>schedule c-section for week 38), I want to have the steroid treatments
>for lung maturation. My Dr told me I was almost past the 34 week mark
>where these become ineffective. I do not agree, and see that many
>others are given this treatment at any time of premature labor.
>
>Is there a reason I should think it's ok not to be proactive and have
>this treatment, since the risks are supposedly small or nil, and
>possible benefits so great?
>It seems slightly non-chalant to ignore helpful, possibly life saving
>treatments. Maybe I should switch to a Dr with a more aggressive,
>proactive approach?
>
>Please help!

There is much in the literature to substantiate the use of steroids prior to 34 weeks. At 34 weeks, there is no advanatge proven in the literature.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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