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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Problem In Pregnancy

Hi Dr. I m 32 weeks pregnant. I have the last couple weeks had an irritable uterus with braxton hicks. I just got back from my gynecologist today and was asked to take utrogestan 100mg 3 times a day to prevent preterm labor. But when I search the web It says: Utrogestan 100mg Capsules are not a treatment for premature labour.Prescription of progesterone beyond the first trimester of pregnancy may reveal gravidic cholestasis What does this mean and what it is your opinion? Thank you,
Thu, 29 Oct 2015
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OBGYN,  's  Response
Hi,

It is not proven that progesterone can really help with preterm labour, so your doubt is correct. Many doctors just prescribe it as a precaution.
I would like to know if any sonography was taken and was the length or dilatation of cervix (mouth of the womb) noted.
Only if there are changes in the length and dilatation of the cervix can we consider that you are truly in preterm labour and only then would some medications be advised.
Braxton hicks are false labour pains and do not cause preterm.
If you do have changes in cervix and repeated tightening and pain which in increasing in intensity then we should consider cortisteroid injection for maturity of fetal lung and admit you for observation in hospital at least for 24 hours ant to watch for bleeding or leaking.
Also do not use progesterone as their benefit is questionable.

Hope this helps.
Regards.
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Suggest Remedy For Problem In Pregnancy

Hi, It is not proven that progesterone can really help with preterm labour, so your doubt is correct. Many doctors just prescribe it as a precaution. I would like to know if any sonography was taken and was the length or dilatation of cervix (mouth of the womb) noted. Only if there are changes in the length and dilatation of the cervix can we consider that you are truly in preterm labour and only then would some medications be advised. Braxton hicks are false labour pains and do not cause preterm. If you do have changes in cervix and repeated tightening and pain which in increasing in intensity then we should consider cortisteroid injection for maturity of fetal lung and admit you for observation in hospital at least for 24 hours ant to watch for bleeding or leaking. Also do not use progesterone as their benefit is questionable. Hope this helps. Regards.