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Re: ACOG Statement From: art fougner, md (evsono@pipeline.com) Tue Oct 3 07:46:54 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: US litigation" Previous message: Efrain Ramirez: "ACOG Statement" In reply to: Efrain Ramirez: "ACOG Statement" Next in thread: Efrain Ramirez: "Re: ACOG Statement" Reply: Efrain Ramirez: "Re: ACOG Statement" Efrain - almost there but not quite - doesn't help Rich or myself whose hospitals just yanked cytotec away. I've sent another e-mail to Dr. Zinberg essentially forwarding Luis' comments which of course echo your reservation. We gotta keep the pressure on. art for Efrain - "Nobody gets out of here alive" - Jim Morrison At Tue, 3 Oct 2000, Efrain Ramirez wrote: > >"Off-label use of misoprostol > >Many medications in obstetrics and gynecology are used off-label. >Appropriate >off-label use is generally based on sound, scientific evidence. >Scientific >information on misoprostol addresses off-label use for cervical ripening >and >induction of labor in pregnant women who have unfavorable cervices and >as an >agent in termination of early pregnancy. These indications are >discussed in >ACOG's Committee Opinion #228, Induction of Labor with Misoprostol >(November >1999), and ACOG's Practice Bulletin #10, Induction of Labor (November >1999). > >Misoprostol use is not recommended for cervical ripening or inducing >labor in >women who have had prior cesarean delivery or major uterine surgery >because of >the possibility of uterine rupture. Women treated with misoprostol for >cervical >ripening or induction of labor should receive fetal heart rate and >uterine activity >monitoring in a hospital setting until further studies evaluate and >confirm the safety > of outpatient therapy. > >ACOG's Committee on Obstetric Practice and Committee on Practice >Bulletins are >further deliberating this issue at their October meetings. Fellows will >be informed > of any necessary action or recommendations that may result from these > discussions." > >-- >"Do not take life too seriously. You will never get out of it alive." > >Marianne Williamson > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: US litigation" Previous message: Efrain Ramirez: "ACOG Statement" In reply to: Efrain Ramirez: "ACOG Statement" Next in thread: Efrain Ramirez: "Re: ACOG Statement" Reply: Efrain Ramirez: "Re: ACOG Statement"

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