WOMENS-HEALTH Messages for June, 1998: Re: preterm birth

Re: preterm birth

From: Kim (anonymous@obgyn.net)
Tue, 16 Jun 1998 12:30:33 -0500 (CDT)

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At Thu, 8 Jan 1998, Jean wrote: >
>It is very disheartening to see the many comments by academicians in the
>medical literature referencing statistics that tocoloytics don't work,
>bedrest doesn't work, risk screening doesn't work, bedrest doesn't work,
>home monitoring doesn't work, etc., etc. The fact is all of these work
>when they are used by a physician who is experienced in high risk OB
>care. A great example is the recent article by Jay Iams in the New
>England Journal of Medicine. Is it possible that there are OBs who do
>not want there to be a solution to preterm birth. After all, as long as
>the mainstream thinking is that preterm birth is simply beyond solving
>-- no one can blame (sue) the OB for the birth of a 3 pound baby.
>Terbutaline works, monitoring works, bedrest works, fetal fibronectin
>works, a caring, closely-involved physician works. Take it from me and
>a few hundred thousand other women - I lost 2 babies to preterm birth in
>the 80's. Then I had a new perinatologist in Phoenix who prescribed
>bedrest, terbutaline, daily monitoring, home care. I went into preterm
>labor at 26 weeks but my pregnancy continued until 34 weeks. Statistics
>would say I was a failure. My son was premature. But my son lived. And
>my son is healthy. He weight 5 pounds 11 ounces. And guess what? I am
>not an ancedote. I am a volunteeer for a high risk pregnancy support
>group and we've supported thousands of women who had healthy babies
>(even though they delivered a few days short of term) because of the
>care they received. Please, please stop playing the political games
>fighting over sloppy statistics and re-commit to high risk mothers. You
>have everything you need to help many women have healthy babies. Use
>them.

Dear Jean;

I am writing in reply to your posting about preterm labor. I was hoping you have helpful information you can share. I lost twin boys(at 22 weeks preg.) due to preterm labor and delivery. They tossed around incompetent cervix for a short time but I had labor for 2 whole days before I reached 6-7cm dilated and my water didn't break until JUST before delivery. We're trying toget pregnant again but I'm terrified this will happen again. I'm hoping that I can carry one baby at a time(maybe not twins but hopefully a singleton). Do you know if I have a good chance of carrying a singleton or if I'm destined to keep losing my babies before viability? Any information you have would be appreciated. Thanks, Kim.(dkedward@mnsi.net)

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