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Re: Cytotec, cervical ripeningFrom: D. Ashley Hill, MD (dahmd@mpinet.net)Sat Apr 8 21:58:01 2000
There were a couple of abstracts involving outpatient cytotec for term pregnancies in the Gray journal a few months ago, but I cannot recall which issue, nor can I remember the findings. It was the issue full of abstracts for one of the society meetings. We currently would not use outpatient misoprostol in term pregnancy outside of a formal research protocol. We have seen too many precipitous deliveries, rapid labors in general, and significant contractions developing soon after misoprostol administration to feel confident of outpatient use. Further, due to the increasing reports of uterine rupture when given to women who have a prior cesarean, we no longer use misoprostol in such patients. Have a good weekend. Ashley
-- David Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency http://home.mpinet.net/dahmd
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