Re: new case

From: Betsy Hyde (elishyde@connix.com)
Sun May 28 18:37:07 2000


At 9:50 AM 5/28/00, Luis Sanchez-Ramos, MD wrote: > 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

I don't know if Dr. Sanchez-Ramos is including the current case in this caution. However, I believe that the misoprostol use *was* administered correctly in this IUFD. 25 mcg dose, and then 4 or 5 hours later, with no real contractions, nothing showing on the monitor and no c/o contractions by the patient, a second dose of 25mcg was given. I will review the chart in the am, and send any clarifying details.

How can we say it was definitely due to the miso?

How would you use miso in an IUFD?

--
Betsy Hyde CNM
Branford, CT




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