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Re: new caseFrom: Luis Sanchez-Ramos, MD (sanchez-ramos@worldnet.att.net)Sun May 28 09:49:38 2000
At Fri, 26 May 2000, Efrain Ramirez wrote:
>>I found this very interesting -- we have had 2 uterine ruptures on unscarred uterus in *multiparous* patients AND while bearing down << Efrain: You keep on mentioning your cases of uterine rupture in patients who received misoprostol. However, you have not been able to give me precise details or send me the records (with the patient's name and unit # made unindentifiable). I have been fortunate enough to have reviewed several cases of uterine rupture in patients who received misoprostol at other institutions. In each and every case, the medication was used incorrectly. I have also reviewed and have seen, as most of you have also seen, uterine ruptures which occurred spontaneously, after PGE2 administration, or oxytocin infusion (in patients with or without prior uterine surgery). Anyone who has had a patient with a ruptured uterus (unscarred) definitely due to the administration of misoprostol should refrain from its further use until they learn how to administer it properly (MY PERSONAL OPINION !)
-- Luis Sanchez-Ramos, MD
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