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Re: Cytotec and hypotonic uterus From: Martha Cecile Graf (mgraf@nmhs.org) Mon Apr 10 08:04:13 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Eberhard W Lisse: "Re: Classical C/S - Dr Siegel" Previous message: Rupak Roy: "Mag Sulph in preterm labour" In reply to: Diane Petersen: "Cytotec and hypotonic uterus" Next in thread: Ealgail@aol.com: "Re: Cytotec and hypotonic uterus" We use 200 mcg pr after hemabate doesn't work the first time. Seems to work fine, most of the time At 01:54 PM 4/9/2000 -0500, you 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 Petersen MD FACOG >Mpls MN >Private Practice > M. Cecile Graf, RNC, MSN Clinical Nurse Specialist High Risk Obstetrics Next message: Eberhard W Lisse: "Re: Classical C/S - Dr Siegel" Previous message: Rupak Roy: "Mag Sulph in preterm labour" In reply to: Diane Petersen: "Cytotec and hypotonic uterus" Next in thread: Ealgail@aol.com: "Re: Cytotec and hypotonic uterus"

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