What is tocolysis used for?

Tocolysis is an obstetrical procedure carried out with the use of medications with the purpose of delaying the delivery of a fetus in women presenting preterm contractions. These medications are administered with the hope of decreasing fetal morbidity and mortality.

What drugs are used for tocolysis?

Answer. The most common tocolytic agents used for the treatment of preterm labor are magnesium sulfate (MgSO4), indomethacin, and nifedipine.

What are the indications for tocolysis?

Indications. Tocolytics are used in preterm labor, which refers to when a baby is born too early before 37 weeks of pregnancy.

What does salbutamol do in pregnancy?

What are the benefits of using salbutamol in pregnancy? Salbutamol improves breathing, preventing dangerous asthma attacks. Asthma medicines like salbutamol should be continued in pregnancy, as the baby needs oxygen to stay alive, grow and develop.

How is Tocolysis administered?

According to practice guidelines, a loading dose of 50 mg rectally or 50 mg to 100 mg orally followed by 25 to 50 mg orally every 4 to 6 hours for 48 hours is used for tocolysis. Ketorolac, also used as a tocolytic, is administered intramuscularly as a 60-mg loading dose followed by 30 mg every 6 hours for 48 hours.

What drug relaxes the uterus?

Terbutaline is in a class of drugs called betamimetics. They help prevent and slow contractions of the uterus.

How Long Can preterm labor be delayed?

Premature labor FAQs Doctors will generally aim to delay the birth until at least 34 weeks and after this induce labor artificially.

How is tocolysis administered?

When should a pregnant woman take salbutamol?

Salbutamol and pregnancy Salbutamol is safe to use in pregnancy. It’s important that your asthma is well treated, so do not hesitate to use your inhaler if you need it. Since salbutamol is inhaled and works in the lungs, very little of it gets into your blood and even less of it gets to your baby.

Can salbutamol stop uterine contractions?

When salbutamol stimulates the beta 2 receptors in the uterus, it causes the muscles in the walls of the uterus to relax. This can stop the contractions associated with premature labour. Salbutamol can be used to stop labour that starts between 22 and 37 weeks of pregnancy.

What are the contraindications to Tocolysis?

General contraindications to tocolytic therapy include severe preeclampsia, placental abruption, intrauterine infection, advanced cervical dilation, and evidence of fetal compromise or placental insufficiency.