Re: Fetal demise 31 wks abruption.
From: R. Daniel Braun (rd.braun@gmail.com)
Thu Nov 15 06:45:46 2007
I think that I have seen MORE ruptured uteri with cytotec than with
oxytocin.
Just my "not so expert" opinion. Certainly far from level 1 evidence.
Dan
On Nov 14, 2007 9:57 PM, Garry E. Siegel, M.D. <garrys@mindspring.com>
wrote:
> Good case and absolutely would have used Pitocin, and avoided cytotec
> just because, though I'm pretty sure it is "OK" with a demise.
>
> Garry
>
> At Thu, 15 Nov 2007, Raymond Stephen wrote:
> >
> >I was about to say attempt to deliver her vaginally as these patients
> >usually labour quickly and easily, when you posted this to say that she
> >had delivered already. Well done. You did the right thing in my
> >opinion. As always, the message is expect a PPH after an APH.
> >
> >Steve
> >
> >-----Original Message-----
> >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr.
> >John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
> >Sent: Thursday, 15 November 2007 9:26 AM
> >To: Multiple recipients of list OB-GYN-L
> >Subject: Re: Fetal demise 31 wks aburption.
> >
> >At Wed, 14 Nov 2007, R. Daniel Braun wrote:
> >>
> >>Did she get folic acid with this pregnancy? Repeat abruption according
> >to
> >>some real old studies may be associated with inadequate folic acid.
> >>
> >>Dan
> >>
> >I have no idea, everyone here is on materna or equivalent which has
> >small amount of folic acid, she just delievered vaginally with only a
> >moderate amount of PPH not more than 1 liter.
> >
> >--
> > Take care, John
> >
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> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA
>
--
R. Daniel Braun, MD FACOG(L) CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
R. Daniel Braun
"Science without Religion is LAME; Religion without Science is BLIND"
Einstein 1941
