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Re: Cytotec and hypotonic uterusFrom: Braun, R. Daniel (rbraun@iupui.edu)Mon Apr 10 14:27:52 2000
I have used it on several occasions. The dose is 500 micrgrams. I use 600 when all we have is the 200 tablets. It has worked within 2-3 minutes for me everytime(so far). Most of my cases were for uterine atony after vag. delivery and pit had not worked. RDB R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: Diane Petersen [mailto:peter261@gold.tc.umn.edu] Sent: Sunday, April 09, 2000 1:55 PM 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
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