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Re: new caseFrom: Betsy Hyde (elishyde@connix.com)Thu May 25 18:19:06 2000
At 5:13 PM 5/25/00, Braun, R. Daniel wrote: > > I'm would think it was the misoprostol. You usually have to have some >pretty strong contractions to rupture the uterus. >Dan That was certainly my thought, but wanted to avoid getting jumped on by saying that she ruptured because of the miso. Is there any reason to think an infected uterus is more prone to rupture? It's a little scary to me (actually, it is a *lot* scary!) to think that we are using this drug very frequently with a living fetus. We use 25 mcg doses at Yale, and she had 2 of them before developing pain and tachycardia. Her care was really no different than that of any other multip being induced. This is my 3rd uterine rupture since the end of December. The other two were VBACs being induced with pitocin for fetal indications. Hopefully, there will be no more ruptures for a long, long time.
-- Betsy Hyde CNM Branford, CT
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