Re: new case

From: Garry E. Siegel (garrys@mindspring.ocm)
Wed May 31 21:09:11 2000


My >recommendation would be to use IUPCs in obese patients or in patients
>without apparent uterine activity after receiving one or modre doses of
>PGE1 (unless you are 100% convinced that the patient is not experiencing
>uterine activity).
>
>LSR

Thanks; in the patients in whom you aren't able or wish to AROM, would you just place an IUPC (I've not ever done that), or not place another dose since you can't be assured of the nature of the uterine activity? If you don't place a dose, do you then wait some time period (how long) to then reassess, or re-dose, or try to AROM, or start pitocin?

Garry

--
Garry E. Siegel, M.D., F.A.C.O.G.
Private Practice
Roswell, GA




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