Posts

Showing posts from February, 2023

Atosiban

Image

MgSO4 neuroprotection regime

 4 gms ( 8 ml+12 ml distilled water) over 20-30 minutes Followed by 1 g/ hr for 24 hours ( prepared by adding 24 gms ( 48 ml or 24 amps) in 250 ml NS and giving 12.5 ml per hour) Given over 24 hours is usually effective No much gap to be given between completion of MgSO4 and delivery,  for better results. 1 hour gap for anasthetic reasons is enough. Upto 32 weeks- defenite indication.. Post that ..? Q1: MgSO4 regimen given, but preterm contractions subsided, Can we continue pregnancy? Most in the forum feel pregnancy can be continued.

Foleys

Image
  What to do when Foleys cannot be deflated? Put some more water into the bulb, so that it bursts, Pass a spinal needle per urethra and burst the bulb USG guided spinal needle insertion Ether into foleys bulb( Less preferable since bulb get fragmented inside. split the catheter vertically from down into two. What precautions to be followed while keeping Foleys insitu for long time? Use only distilled water to inflate and NOT NORMAL SALINE, since NS gets precipitated in the bulb and difficult to deflate.