Re: Fetal demise 31 wks aburption.

From: art fougner, md (evsono@pipeline.com)
Fri Nov 16 07:05:40 2007


"Just because you get away with something doesn't make it right." Gordon Watkins Douglas

Art

At Fri, 16 Nov 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>At Thu, 15 Nov 2007, R. Daniel Braun wrote:
>>
>>POWER POWER is totally lacking in this study.
>>
>>Dan
>>
>>On Nov 15, 2007 5:04 PM, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. <
>>johnprov@sympatico.ca> wrote:
>>
>Yes its basically a retrospective case comtrol, but there is something
>to be said about reporting 100 VBAC cases with the use of high dose
>cytotec at less than 28wks? and no ruptures. I have seen figures of
>4-5% for rupture with cytotec at term, even if its only 1-2% would you
>have expected a rupture in 100 VBACs, there have been a few studies
>publised snice than also for less than 20 wks with no ruptures so we are
>probably looking at hundreds of VBAC's with cytotec and no ruptures. I
>think it points to rupture in the early second trimester as being rare
>more than anything else. I was surprised they were brave enough to use
>cytotec in 101 VBACS.
>
>--
> Take care, John
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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