All tertiary centres seem to have their own protocols for Nifedipine in prem. labour, but thanks for the new perspective, i.e. crushing the 1st dose - sounds perfectly sensible, eh! I gasped at first at the thought of crushing anything entericly coated. Our tertiary centre wouldn't hear of it though - it's 20mg 1/2 hrly x max. 3 doses ( if contractions don't cease sooner), followed by 20mg q6h maintainance till maximum steroid loading achieved - paeds. like 48hrs after 1st dose of steroids before bub delivers.
Cheers, Gaye.
