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Treatment modality 1:-For prevention of PTL where gest age is
< 32 weeks:-: Acute tocolysis ::-Mag So4 is one the agent to which we are
familiar and comfortable to use too, So also ward nurses. Its i/v only, almost
same as Zuspan regimen. Deep IM of Mag So4 works poorly in stoppage of acute
PTL. The dose is 4-6 gram 20% solution
slow iv over 10-15 minutes followed by continuous infusion of 1-2 gram/hour for
24 hours for preterm fetus. If gestational period is <32 weeks. Very effective in subsidence of
uterine contractions Treatment modality2: The second option of acute tocolysis:-:
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May also opt
for nifedipine XR 20 mg stat. This is another agent but admittedly less
effective than Mag So4 which according
to me is very effective followed by same
dose after 30 min.
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and then
maintenance dose of same 6 hourly until labour is subside.
o
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