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Re: Cytotec and hypotonic uterus From: Paul Prior MD (pprior@earthlink.net) Sun Apr 9 17:25:43 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Diane Petersen: "Re: Cytotec and hypotonic uterus" Previous message: Paul Prior MD: "Re: For those of you who cover family docs doing ob..." In reply to: Diane Petersen: "Cytotec and hypotonic uterus" Next in thread: Diane Petersen: "Re: Cytotec and hypotonic uterus" On Sun, 9 Apr 2000 13:55:02 -0500, Diane Petersen <peter261@gold.tc.umn.edu> wrote: >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 - can't answer your question, have no experience with cytotec for pp hemorrhage. But want to hear more about this case. Mom had no symptoms until the bleeding started? -- Paul Prior MD Get rebates on online purchases - up to 25% cash back. Ashland, KY USA Including Disney,Borders,DVDexpress,800.com,Dell, petstore Using Spamkiller iBaby, etoys, JCrew,800-flowers,PlanetRX,Avon & many more. so spam away... try: http://www.ebates.com/index.jhtml?referrer=pprior Next message: Diane Petersen: "Re: Cytotec and hypotonic uterus" Previous message: Paul Prior MD: "Re: For those of you who cover family docs doing ob..." In reply to: Diane Petersen: "Cytotec and hypotonic uterus" Next in thread: Diane Petersen: "Re: Cytotec and hypotonic uterus"

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