Current treatments for miscarriage and pretem labour in DES daughters and other women: A review
article
Many years after the onset of the DES-problem, drugs and treatments of dubious effectiveness are still being prescribed to prevent or treat complications in pregnancy. Most of these treatments have proven or potential side effects:. Progestagens may have side effects for the foetus and are not effective in the treatment of threatened or habitual miscarriage, or preterm labour.Cervical cerclage is not effective in preventing miscarriage in women with cervical abnormalities or with multiple pregnancies. There is some indication it may prevent miscarriage in women with a history of previous second trimester miscarriages.Bed rest as a treatment for threatened miscarriage or preterm labour has not been studied sufficiently to enable a conclusion about it's usefulness.Drugs to prevent or treat preterm labour (tocolytia) can postpone labour, but do not change the chance of foetal sickness or death. Only two types of tocolytics should be used. Both may have serious side effects for mother and baby. Tocolytics, in general, are used too widely.All pregnant women, and pregnant DES daughters in particular, need to be critical of treatments offered to them. © 1991 by Scandinavian University Press.
TNO Identifier
960700
ISSN
11011262
Source
European Journal of Public Health, 1(2), pp. 94-99.
Pages
94-99
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