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Tocolysis timing.(Letters)
I was confused by the article "Careful Monitoring Called Key to Tocolysis" (Dec. 15, 2003, p. 13).
Since Dr. Washington C. Hill discussed 20-36 weeks' gestation as a time period to use tocolytics, he appears to advocate the use of tocolytics and steroids before 23 weeks and after 34 weeks. If steroids have no benefit before 23 weeks or after 34 weeks, and we use tocolytics to provide enough time for steroids to get on board, as Dr. Hill suggested, even though the available tocolytics are associated with adverse effects for mother and fetus, why would a physician use tocolytics before 23 weeks or after 34 weeks?
Russ Jelsema M.D.
Grand Rapids, Mich.
...- Tocolytics after PPROM linked to earlier delivery: may cause or initiate...
- Magazine article from: OB GYN News Boschert, Sherry June 15, 2002 700+ words
...counterparts who weren't on tocolytics, Dr. Allahyar Jazayeri reported...vs. 22%) and within 1 week (92% vs. 44%) of rupture...whose mothers weren't on tocolytics. Delivery rates within 24...University, Lubbock. The use of tocolytics after PPROM is controversial...
- Subcutaneous Terbutaline Beats Oral Tocolytics.
- Magazine article from: OB GYN News BOSCHERT, SHERRY July 1, 2000 700+ words
...approximately 32 weeks' gestation. All...treated with oral tocolytics for initial preterm...at a mean of 28 weeks' gestation. Half...patients on oral tocolytics. Forty-seven...group reached 37 weeks' gestation, compared...
- Tocolytics Not Meant for Maintenance Therapy.
- Magazine article from: OB GYN News WORCESTER, SHARON March 1, 2000 700+ words
...studies show that prolonged use of oral tocolytics, including terbutaline and nifedipine...said. Any patient being treated with tocolytics should also receive steroids. If she...steroids, she probably doesn't need the tocolytics, he added. After 48 hours tocolytic...
- Don't Go Overboard When Prescribing Tocolytics.
- Magazine article from: OB GYN News JANCIN, BRUCE April 1, 2001 700+ words
...corticosteroids, a therapy which, unlike tocolytics, is of proven benefit. A third indication...allowed for a very limited role for oral tocolytics in the occasional patient who becomes...stressed. Turning to specific classes of tocolytics, she said her favorite is the nonsteroidal...
- Development of New Tocolytics Won't Be Easy.
- Magazine article from: OB GYN News ZOLER, MITCHEL L. October 15, 1999 700+ words
...uterine contractions who were between 24 and 32 weeks' gestation (or up to 36 weeks in six centers outside of the United Kingdom) were...measure: percentage prolongation of gestation to 37 weeks. This endpoint was achieved for 73.8% of the...
- BOTTOMLINE.
- Magazine article from: Family Practice News Boschert, Sherry July 1, 2000 700+ words
...preterm labor at about 32 weeks' gestation. All used oral tocolytics for preterm labor at a mean of 28 weeks' gestation. Half...57% of those on oral tocolytics. Overall, 47% of...terbutaline group reached 37 weeks' gestation, compared...
- LETTERS.
- Magazine article from: OB GYN News April 1, 2000 700+ words
...physician who is using it. Tocolytics are neither good nor evil...how these tools are used. Tocolytics have worked for me, but I...physicians stems from the fact that tocolytics are not meant to succeed beyond...full cervical dilation at 28 weeks' gestation long enough for...
- Metaanalyses Tackle Management of Preterm Labor.(Brief Article)(Statistical...
- Magazine article from: Family Practice News BOSCHERT, SHERRY June 15, 2000 700+ words
...brief look at what they found: * Acute Tocolytics. Four classes of drugs used in first...individual trials, he said. * Maintenance Tocolytics. Two separate metaanalyses of eight...study reported benefit from maintenance tocolytics. * Antibiotics. From a total of 13...