Re: ACOG Statement
From: Efrain Ramirez (eramirez@icepr.com)
Tue Oct 3 21:35:44 2000
Yeap -- let's se what Luis can do - he is the most experienced guy
around on this issue -- ACOG should listen to him. The statement should
have addressed the Searle's letter -- a missed opportunity to tell every
one that ACOG won't tolerate that kind of "behavior".
At Tue, 3 Oct 2000, art fougner, md wrote:
>
>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.
>
--
"Do not take life too seriously. You will never get out of it alive."
Marianne Williamson
