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Re: 2nd trimester fetal demise From: Efrain Ramirez (eramirezt@coqui.net) Wed Jun 28 23:01:38 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GIN11153@aol.com: "Most bizarre trial you'll ever hear about" Previous message: Efrain Ramirez: "Re: 2nd trimester fetal demise" In reply to: Raymond Stephen: "Re: 2nd trimester fetal demise" Next in thread: Raymond Stephen: "Re: 2nd trimester fetal demise" My experience is that products of conception are expelled "in toto" without need of curettage.. just manual exploration of uterine cavity under light sedation... Good luck Ef At Thu, 29 Jun 2006, Raymond Stephen wrote: > >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? -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: GIN11153@aol.com: "Most bizarre trial you'll ever hear about" Previous message: Efrain Ramirez: "Re: 2nd trimester fetal demise" In reply to: Raymond Stephen: "Re: 2nd trimester fetal demise" Next in thread: Raymond Stephen: "Re: 2nd trimester fetal demise"

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