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I am 31 weeks pregnant with my third child. At 29 weeks contractions began and I was put on bed rest with Nifedipine 10mg every 6hrs. During the course of a few days afterward, my cervix softened and effaced to 2.18, my maternal fetal medicine doctor confirmed via transvaginal ultrasound. He also reported an increase in amniotic fluid at 22. My OB was not worried about either, said to continue on bed rest and take the medicine when I started having more contractions. They both expect me to deliver around 35-36 weeks. I also take Lovenox for a blood clotting disorder and worry that bed-rest is not the best solution. Are there any other options except complete bed rest and Nifedipine? My calcium intake is already deprived b/c of the Lovenox, and the Nifedipene makes my joints hurt, and not sure the side effects it has on our baby. Your help is greatly appreciated. Thank you.

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replied April 15th, 2011
Third Trimester of Pregnancy Answer A21968

Welcome to the ehealthforum and I am really glad to help you out. I can understand your concern. What you had were preterm contractins and for these , calcium-channel blockers like nifedipine are often prescribed but they appear only to have a temporary effect in delaying delivery. However it has no known serious fetal effects and you can take them under the supervision of your gynecologist. Also you should continue with strict bed rest.

There are other treatment options like tocolytic drugs beta agonists and prostaglandin synthetase inhibiotrs but they are also not without side effects.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.

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