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Re: Cytotec and hypotonic uterusFrom: Diane Petersen (peter261@gold.tc.umn.edu)Mon Apr 10 23:01:20 2000
This patient had just delivered her first child, the baby was born with apparent hypoxia and its finally outcome ( thankfully) was good. However, that was not to be known for several days. Taking out her uterus before all that could be done had been done is not the way I practice. It takes approximately 30-45 minutes for FFP to thaw. The blood products then need to reach the patient and be given. FFP, cryoprecipitate, PRBCs and serial hemabate was all given. The uterus was contracted nicely before the DIC developed. The DIC caused the hypotonic uterus and the hope was that the reversal of the coagulopathy would have made TAH unnecessary. The original post posed the question regarding the use of Cytotec pr for treating this problem. I have never used it for this indication and apparently no one at my institution has used for this indication either. The patient was hemodynamically stable throughout the case. If she were not stable I would not have hesitated in proceeding with the hyst.
-- Diane Petersen MD
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