Fwd: Misoprostol dosing

From: Akhan Suleyman (akhan93@hotmail.com)
Wed Mar 7 11:05:02 2001


Dear Cheri There is five years that we use misosprostol for induction labor and cervical ripening in our clinic. We prefere to use 25 microgram misoprostol every four hours until the bishop score will be five or more. We don't put the miso after six dose. If the score is four or less we suggest to rest the patient for 24 hour. After that we try again (If there is no some urgent position). We use the miso for all of the patients(Postterm patient, preeclamptic patient and even HELLP syndrome). There are so many ratio for the tachysystole and hyperstimulation. We found the tachysystole is more common in preeclamptic patient. They are so many study about the dose of miso. But the Wing's studys are very important. In 1997 a meta analysis published by Sanchez-Ramos. Süleyman Engin Akhan M.D. Istanbul University Istanbul Medical School Department of Obstetrics & Gynecology Capa – Topkapı- Istanbul 34290 Turkey

>From: Cheri Van Hoover <cherivh@home.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com>
>Subject: Misoprostol dosing
>Date: Wed, 7 Mar 2001 11:13:10 -0600
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>When using serial doses of misoprostol for cervical ripening/induction of
>labor,
>what are your criteria for withholding the next dose? Frequency of UCs,
>intensity and/or duration of UCs, fetal reasons, etc...
>
>I'm going to be presenting at an upcoming nursing conference on the topic
>of
>cervical ripening for induction of labor. I'd like to get some ideas about
>the
>regional differences (if any) in dosing patterns and criteria for stopping
>miso
>and proceeding with oxytocin or some other method of labor induction.
>
>I'd like to hear from as many people as possible on this topic, including
>those
>who have used misoprostol in the past and are now being prevented from
>doing so
>for institutional reasons.
>
>Thanks!
>Cheri Van Hoover, CNM
>San Francisco, CA
>





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