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Re: Rupture uterus at 8 weeks after misoprostol From: Braun, R. Daniel (rbraun@iupui.edu) Fri Jun 30 10:41:01 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: james connerth: "Re: Rupture uterus at 8 weeks after misoprostol" Previous message: Rupak Ranjan Roy: "Re: Rupture uterus at 8 weeks after misoprostol" Maybe in reply to: Rupak Ranjan Roy: "Rupture uterus at 8 weeks after misoprostol" Next in thread: james connerth: "Re: Rupture uterus at 8 weeks after misoprostol" Not to my knowledge. Did the people in the article comment on the 8 weeks bit. I have never heard of a uterine rupture at 8 weeks. I have heard of uterine perforations, but never a rupture. RDB R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: Rupak Ranjan Roy [mailto:rupakray@caltiger.com] Sent: Friday, June 30, 2000 10:28 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Rupture uterus at 8 weeks after misoprostol Misoprostol was given for pre-operative cervical priming. Royal College of Obstetricians and Gynaecologists` guideline recommend a dose of 800 micrograms vaginally 3 -4 hours before surgical evacuation. The authors of the article under discussion conclude that THIS DOSE is unsafe in a woman with a scarred uterus despite reports of its safety published elsewhere (Lawrie A. et al Br. J. Obs.& Gynae. 1996, pg. 1117 - 1119). A lower dose of 400 microgram has also been reported to be optimal for this purpose. By the way, is it used for cervical priming before vacuum aspiration in USA? -- Rupak Ranjan Roy MRCOG >----- Original Message ----- From: Myer S. Bornstein, MD, CPE, FACOG <mborn@massmed.org> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: 30 June 2000 23:46 Subject: 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: james connerth: "Re: Rupture uterus at 8 weeks after misoprostol" Previous message: Rupak Ranjan Roy: "Re: Rupture uterus at 8 weeks after misoprostol" Maybe in reply to: Rupak Ranjan Roy: "Rupture uterus at 8 weeks after misoprostol" Next in thread: james connerth: "Re: Rupture uterus at 8 weeks after misoprostol"

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