Can Adilan-SR Be Taken During Pregnancy?

Posted on Thu, 11 Aug 2016

Question: SHOULD I TAKE ADILAN SR IN 37 WEEK OF PREGNANCY

Answered by Dr. Sameer Kumar (36 minutes later)

Brief Answer:
Its a tocolytic and to be used under gyne supervision.

Detailed Answer:
Hello,
Thanks for the query to HCM,
ADILAN SR is isoxsuprine and is a safe medicine to be used in case of preterm labour if it starts before 37 weeks. The aim is to reduce intrauterine contractions and continue pregnancy till term, provided there has been no cervical dilatation or if the foetal growth is inadequate and there is an advantage in delaying delivery. This is to be used under strict supervision of your obstetrician and an attempt to curb down preterm labour warrants hospital admission. I hope i have answered your query in detail,
Wishing you good health,
Regards

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Sameer Kumar (2 hours later)

SIR DOCTOR PRESCRIBED THIS MEDICINE FROM 3 MONTH OF PREGNANCY.MY DUE DATE IS 12TH JULY AND STOPPED THE MEDICINE AT 29TH XXXXXXX THEN I GOT FALSE LABOUR AT 11TH JULY TILL 15TH JULY. THEN I GO FOR ULTRASOUND ANT FOUND AFI 6.8 . THEN THE DOCTOR SAY THE HAVE TO Cesarean. MY QUESTION IS DUE TO THIS MEDICATION LABOUR NOT START AS SOME MIDWIFE SAYING?

Answered by Dr. Sameer Kumar (3 hours later)

Brief Answer:
you can stop this med.

Detailed Answer:
Hello,
At 37 weeks , the pregnancy is already at term and even if labour starts , if baby is adequately grown up as the ultrasound for foetal growth parameters would be able to tell, you can have normal labour, just that you have to be kept on regular monitoring during labour. AFI of 6.8 is not an indication of c-section unless the doppler studies of umbilical artery shows resistance flow or reversal of flow and if your pelvis is adequate.
As long as you continue adilan SR, labour may not occur, so i feel as you are already term, this med can be avoided under supervision of your gynecologist, so that labour may start anytime. Then you may be assessed for vaginal delivery as per your progress.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sameer Kumar (9 hours later)

IS WITH THIS AFI 6.8 INDUCED LABOUR CAN START BY MEDICATION WITHIN 14TH HOUR ? IF YES WHAT ARE THE MEDICINES. DOCTOR SAYS AFTER STOP ADILAN SR, 15 DAYS PASS AWAY BUT ONLY FALLS LABOUR STARTED AND IN 40 TH WEEK THEY GIVE SOME MEDICINE AT 10PM AND WAIT FOR NEXT DAY 12PM. BUT ONLY FALSE LABOUR START. AT 4 AM AND AT 1 PM THEY OPERATE FOR C-SECTION AND SAY THERE IS VERY LESS WATER THEY FOUND DURING C-SECTION.HAVE THEY MISGUIDE ME ? HAVE THEY OTHER WAYS FOR VAGINAL DELIVERY! THEY NOT TRIED BECAUSE TO GET MORE MONEY IF THEY OPERATE C-SECTION.

Answered by Dr. Sameer Kumar (6 minutes later)

Brief Answer:
answered

Detailed Answer:
Hello,
Labour may start anytime in next 1-2 weeks , hence stop adilan and you have to be on regular monitoring for AFI AND FOETAL GROWTH PARAMETERS. Induction of labour for decreased AFI 6.8 .is not indicated unless there is an IUGR or intrauterine growth retardation. Oligohydramnios is AFI less than 5cm.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sameer Kumar (24 hours later)

LABOUR PAIN START AT 11TH JULY AND 13 TH JULY ,MY DUE DATE WAS 12 TH JULY. BUT DOCTOR CHECKED AND REPORTED NO DILUTION / OPENING. THEN DOCTOR GIVEN SILINE AND SOME MEDICINE TO PROGRESS LABOUR. BUT LABOUR NOT PROGRESS FORTHER. WHAT MAY BE THE CAUSE ? AFI 6.8 ,AFTER 3DAYS OF DUE DATE ?

Answered by Dr. Sameer Kumar (13 hours later)

Brief Answer:
possible cervical dystocia.

Detailed Answer:
Hello,
if the doctor tried with augmentation of labour with medicines and still you didn't have a cervical dilatation inspite of going into labour, then there are chances of cervical dystocia where the cervix doesn't dilate inspite of adequate uterine contractions. In that case eh next best option remains c-section.
Regards

Above answer was peer-reviewed by : Dr. Raju A.T