Re: 2nd trimester fetal demise

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Wed Jun 28 18:42:05 2006


Cytotec 600mcg pv and 600mcg orally - once off dose; should produce a spontaneous evacuation which probably should be followed up by curettage after expulsion of products.

Steve

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. Ainsworth Sent: Thursday, 29 June 2006 5:43 AM To: Multiple recipients of list OB-GYN-L Subject: 2nd trimester fetal demise

I have a patient who is a surrogate mom - donor egg and sperm from the biological parents, now at 20wks with a fetal demise that probably occurred one week ago. She has a complete previa. If she wants to terminate the pregnancy, would you do a D&E with laminaria or try cytotec? At this point, she is showing no signs of labor and does not want to continue the pregnancy. If you used cytotec, what dose - 200mcg, 400mcg, 800mcg q6h? Would you try a low dose and work up? Would you do it as an inpatient with blood available, or as an outpatient until you begin getting some response?





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