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Re: Prostaglandin and previous C/SFrom: Kelly Shanahan (mks@sierra.net)Fri Jun 27 23:36:54 1997
At 11:29 AM 6/27/97 -0500, you wrote: >To the List: > >We discussed this before (I think), but I'd like to poll the list again >regarding the use of prostaglandin gel/suppositories/whatever for induction >of labor AT TERM in women with previous (transverse) C-section scars: > 1) Is it done?
Yes
> 2) Is it safe?
Yes -- sorry don't have my RCTs in front of me, but in my anecdotal
experience, I have not had any problems.
> 3) Do you need to inform the patient of anything special?
I tell all my VBACs there is a small chance of uterine rupture with labor,
but risks are less than risks of surgery, and I tell my inductions there is
a small chance of hyperstim with fetal distress and no guarantee of vaginal
delivery(i.e., not all inductions are successful)
> 4) Anyone had any problems with it?
Nope.
> You're welcome,
Kelly S.
Kelly Shanahan, MD
S. Lake Tahoe, CA
>
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