----- Original Message -----
Sent: Monday, October 16, 2006 10:42
AM
Subject: Re: [ozmidwifery] asthma in
labour
Just to confuse the issue...Last week a woman
experienced hypertonic uterus after induction by PG gels. There was a heated
debate about the use of inhalation ventolin - one dr saying it only acts
locally (in the lungs) according the evidence when inhaled. The other arguing
she uses successfully prior to ECV's. The woman had five puffs and
the contractions slowed down to 3 in 10.
Ah its a pleasure working in a rural hsp where
most the doctors couldn't give a fig for keeping abreast of latest
research. NOT. and very confusing for the committed registrars
trying to learn from them.
As for the women - they are kept way out of the
argument - sadly like lambs to the slaughter. Also very hard to entice them to
join the midwives chorus to establish midwifery models of care it seems. Only
the few families who have lived and birthed in other areas before know what
they are missing out on.
Suzi
----- Original Message -----
Sent: Saturday, October 14, 2006 11:38
PM
Subject: Re: [ozmidwifery] asthma in
labour
Tia
My Pharmacology for midwives makes no mention
of this. However, as a young student midwife I do remember one obs. used to
use bronchodilators something like 5 puffs one after the other to ' relax
the cervix' to help in removal of retained placentas. To be honest it is too
long ago for me to remember how effective this was.
Shelly (Midwife England)
----- Original Message -----
Sent: Thursday, October 12, 2006
11:28 AM
Subject: [ozmidwifery] asthma in
labour
Hi all,
can bronchodilators,
particularly ventolin, for severe asthma cause labour to slow or
stall? Would it's action of relaxing smooth muscle have this effect on the
uterus or is an inhaled drug (even in strong doses) too little entering
the bloodstream for an effect?
TIA.
J
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