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Re: new case From: Garry E. Siegel (garrys@mindspring.ocm) Tue May 30 20:24:05 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Hemoperitoneum" Previous message: rchudacoff@mylinuxisp.com: "Hemoperitoneum" In reply to: Luis Sanchez-Ramos: "Re: new case" Next in thread: Luis Sanchez-Ramos, MD: "Re: new case" Reply: Luis Sanchez-Ramos, MD: "Re: new case" Luis: For those who use miso for induction, what criteria are used to exclude or allow the subsequent doses? For instance, our protocol says 8 contractions/hour means no next dose, irrespective of the intensity (IUPCs are rarely in). Thus, most patients contract "some" after the first dose, and don't get many second ones at 4 to 6 hours. So, it is 6 hours later--do we re-dose, start pit, ignore? A bit of practical advice would be helpful. Thanks Garry > >Here lies the problem: we have to accept, without objective evidence, >that the patient was having "minimal" contractions prior to receiving >misoprostol. How do you define minimal contractions. I have seen a >number of patients with "mininmal" contractions or apparently without >contractions than when an IUPC was inserted were noted to have regular >uterine activity (At least 3 contractions per 10 minutes). Why don't >you scan the monitor strip for us so that we can determine or quantify >uterine activity? > >LSR -- Garry E. Siegel, M.D., F.A.C.O.G. Private Practice Roswell, GA Next message: Efrain Ramirez: "Re: Hemoperitoneum" Previous message: rchudacoff@mylinuxisp.com: "Hemoperitoneum" In reply to: Luis Sanchez-Ramos: "Re: new case" Next in thread: Luis Sanchez-Ramos, MD: "Re: new case" Reply: Luis Sanchez-Ramos, MD: "Re: new case"

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