Contraindications To Tocolysis
In addition to drug-specific contraindications, several general factors may contraindicate delaying birth with the use of tocolytic medications.
- Fetus is older than 34 weeks gestation
- Fetus weighs less than 2500 grams or has intrauterine growth restriction (IUGR) or placental insufficiency
- Lethal congenital or chromosomal abnormalities
- Cervical dilation is greater than 4 centimeters
- Chorioamnionitis or intrauterine infection is present
- Mother has severe pregnancy-induced hypertension, eclampsia/preeclampsia, active vaginal bleeding, placental abruption, a cardiac disease, or another condition which indicates that the pregnancy should not continue.
- Other cause of fetal distress or fetal death
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