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Re: Rupture uterus at 8 weeks after misoprostol From: Myer S. Bornstein, MD, CPE, FACOG (mborn@massmed.org) Fri Jun 30 07:45:29 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: Experience with QS.5 Perinatal (Corometrics)" Previous message: jay kulkin: "Re: Ovarian mass and early pregnancy (long--what a surprise!)" In reply to: Efrain Ramirez: "Re: Rupture uterus at 8 weeks after misoprostol" Why give 800 mgms? Myer S. Bornstein, MD, CPE, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Efrain Ramirez Sent: Friday, June 30, 2000 08:00 To: Multiple recipients of list OB-GYN-L Subject: Re: Rupture uterus at 8 weeks after misoprostol That's a first for me - bet for many, many others!!! Why give misoprostol for an 8 weeks pregnancy? At Thu, 29 Jun 2000, Rupak Ranjan Roy wrote: > >A case report has been published in the June issue of British Journal of Obs. and Gynae (called BJOG nowadays) describing the rupture of uterus after misoprostol in a UK hospital. We do not have the scope to use misoprostol as it is not available in our country. But this may stimulate some discussion amongst those who use it regularly. > >Briefly, >A 36 year old woman with one previous caesarean section and one vaginal delivery requested termination of pregnancy at 8 weeks (gestation confirmed by ultrasound scan). She was given 800 microgram of misoprostol to prepare the cervix before surgical evacuation. After 2 and a half hours she had severe lower abdominal pain and profuse vaginal bleeding. At laparotomy it was found that the scar had ruptured with division of both the uterine arteries. A subtotal hysterectomy was carried out. > >-- >Rupak Ranjan Roy >MRCOG > -- "Do not take life too seriously. You will never get out of it alive." Marianne Williamson Next message: Braun, R. Daniel: "Re: Experience with QS.5 Perinatal (Corometrics)" Previous message: jay kulkin: "Re: Ovarian mass and early pregnancy (long--what a surprise!)" In reply to: Efrain Ramirez: "Re: Rupture uterus at 8 weeks after misoprostol"

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