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Re: secondary post partum hemorrhageFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Sun Dec 30 14:22:40 2007
At Sun, 30 Dec 2007, R. Daniel Braun wrote: > >Sounds like this may have been "Subinvolution of the placental site". In >which case treatment with methylergonovine is indicated instead of a D & C. > Dan sorry to say you can't get methylergonivine any more,well at least in Canada you can't( there are other much more expensive migraine meds the drug companies would prefer us to use, and in all fairness they do work better for migranes, but that has turned methylergonovine into an orphan drug no one wants to adopt) , I seem to be using cytotec instead, I.V. oxytocin works well but its hard to go home on I.V. oxytocin.Hemabate seems to be a little overkill, but in severe subinvolution hemorrhage its worth a shot.
--
Take care, John
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