What is tocolytic?
and tocolytic is a drug giving a pregnant woman who delays premature birth. The delay will allow steroid hormones such as glucocorticoids, develop lungs and reduce the chance of respiratory distress syndrome in a newborn. The delay of premature work may also reduce the probability of the child's death, especially if the premature work occurs 34. Tocolytic can postpone premature birth for a maximum of 48 hours - enough time to transfer a pregnant woman to a medical facility that can handle the care of a premature child. It checks that the length of the cervix has reached approximately 0.71 inches (18 mm). The doctor also checks the presence of fibronectin, an indicator that a pregnant woman is about to give birth. The benefits of using it predominate over risks. Generally, tokolytic is used between 24 and 34. The month of pregnancy. During this period of pregnancy, neonatal and maternal risks are low. Tocolytic drugs include indometacin, nifedipine and magnesium sulfate.
Indometacin is ready in the form of a pill and a suppository. Its side effects include dizziness, vomiting and nausea. It is not recommended to use pregnant women who have kidney disorders or are known to be bleeding. Long -term use of this drug requires caution because it may have bad effects on a child such as jaundice, pulmonary hypertension and kidney problems.
nifedipin comes in the form of a pill. Some of its side effects are palpitations, headaches and lightness. One of the advantages of using this drug is the reduction of polyhydramnios, a condition in which the excessive area of amniot is.
Esium magnsulphate can be used in the form of pills or issued by intravenous (IV) line. They sweat, nausea and constipation are some of its side effects. This medicine can easily achieve placenta and cause the baby to have respiratory and motor depression. In order to avoid the risk of toxicity, some doctorsrecommend that a specialist in maternity fetal medicine (MFM), which is also called a perinatologist, consulted for a long time before 72 hours
A pregnant woman who is known to have heart disease, lung disease or kidney failure is recommended that the MFM specialist can be seen to properly assess the risks before the administration of tocolytic drugs. It should be excluded to use tocolytics if there are contraindications, such as remarkable vaginal bleeding, allergies or oligohydramnios - a condition in which the lack of amniotic fruits. Tocolytic medicines must always be used under the guidance of a doctor for proper administration and to avoid additional laboratorybo complications and get the best therapy results.