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Re: Cytotec and hypotonic uterus From: Myer S. Bornstein, MD, CPE, FACOG (mborn@massmed.org) Sun Apr 9 14:52:19 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joe Cutchin: "Re: Cytotec and hypotonic uterus" Previous message: Diane Petersen: "Cytotec and hypotonic uterus" In reply to: Diane Petersen: "Cytotec and hypotonic uterus" Next in thread: Joe Cutchin: "Re: Cytotec and hypotonic uterus" I have used 500 mics of Cytotec per rectum for pp hemorrhage works fasts I usually will, use Pitocin and used to use hemobate but cytotec works just as fast and is cheaper -- Myer S. Bornstein, MD, CPE, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Diane Petersen Sent: Sunday, April 09, 2000 14:55 To: Multiple recipients of list OB-GYN-L Subject: Cytotec and hypotonic uterus Has anyone used Cytotec per rectum in the postpartum patient with a hypotonic uterus? If so, were other agents used first, second, etc.? Also, what dose of Cytotec was used rectally? I recently had a patient experience an amniotic fluid embolism. It presented with fetal bradycardia. Crash C/S with no apparent explanation for the bradycardia at surgery. Just before closing the abdomen DIC became apparent and the previously contracted uterus became hyppotonic. Hemabate (four doses in total) did not resolve the hyponia, therefore, subtotal hysterectomy was performed. BTW, loads of blood products were running and blood was starting to clot again but the uterus wouldn't contract. End of story---mom and baby both are okay. Diane Petersen MD FACOG Mpls MN Private Practice Next message: Joe Cutchin: "Re: Cytotec and hypotonic uterus" Previous message: Diane Petersen: "Cytotec and hypotonic uterus" In reply to: Diane Petersen: "Cytotec and hypotonic uterus" Next in thread: Joe Cutchin: "Re: Cytotec and hypotonic uterus"

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