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Re: Cytotec and postpartum hemorrhage From: Terrence.Jones@kp.org Thu Jul 17 13:27:54 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Cytotec and postpartum hemorrhage" Previous message: Terrence.Jones@kp.org: "Re: OB:   Bladder Flap" Maybe in reply to: Glen Elrod MD: "Cytotec and postpartum hemorrhage" Next in thread: Barbara Nicol MD: "Re: Cytotec and postpartum hemorrhage" Reply: Barbara Nicol MD: "Re: Cytotec and postpartum hemorrhage" Reply: Luis Sanchez-Ramos, MD: "Re: Cytotec and postpartum hemorrhage" This is a multipart message in MIME format. --=_alternative 0061B21B88256D66_ Content-Type: text/plain; charset="us-ascii" Let us pray Luis isn't listening! Have You any data on "Causality" with thrombocytopenia and bronchospasm? Tho bronchospasm in asthmatics was significant with PGF analogues, they are extremely rare with PGE's. I'd be more worried about the hematologic effect of postpartum hemorrhahge than that of cytotec. Now that delivery is complete, hemabate would be a likely choice for ecbolic Rx when pit alone is insufficient. tj "Virginia San Miguel" <vsm@ICSI.net> Sent by: ob-gyn-l@obgyn.net 07/17/2003 10:01 AM Please respond to ob-gyn-l To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> cc: Subject: RE: Cytotec and postpartum hemorrhage You would have to be careful with asthmatics and preeclamptics because cytotec can cause bronchospasm and thrombocytopenia. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Glen Elrod MD Sent: Thursday, July 17, 2003 9:40 AM To: Multiple recipients of list OB-GYN-L Subject: Cytotec and postpartum hemorrhage Does anyone have any experience with Cytotec and postpartum hemorrhage in women that have just undergone a c-section. I know that Cytotec is contraindicated in women with a previous c-section for labor induction. I have used cytotec rectally for women with vaginal deliveries that have postpartum hemorrhage. The reason this came up is we have a postpartum c/s that is diabetic, asthmatic, preeclamptic with a postpartum hemorrhage. Methergine is out. Hemabate is out. Pitocin was running. Pt is now several hours out from surgery. Any other suggestion? Thanks, Glen -- D. Glen Elrod, Maj, USAF, MC Medical Director Women's Health Clinic Elmendorf AFB, AK 99506 --=_alternative 0061B21B88256D66_ Content-Type: text/html; charset="us-ascii" <br><font size=2 face="sans-serif">Let us pray Luis isn't listening! Have You any data on &quot;Causality&quot; with thrombocytopenia and bronchospasm? Tho bronchospasm in asthmatics was significant with PGF analogues, they are extremely rare with PGE's. I'd be more worried about the hematologic effect of postpartum hemorrhahge than that of cytotec. Now that delivery is complete, hemabate would be a likely choice for ecbolic Rx when pit alone is insufficient. tj</font> <br> <table width0%> <tr valign=top> <td> <td><font size=1 face="sans-serif"><b>&quot;Virginia San Miguel&quot; <vsm@ICSI.net></b></font> <br><font size=1 face="sans-serif">Sent by: ob-gyn-l@obgyn.net</font> <p><font size=1 face="sans-serif">07/17/2003 10:01 AM</font> <br><font size=1 face="sans-serif">Please respond to ob-gyn-l</font> <br> <td><font size=1 face="Arial">&nbsp; &nbsp; &nbsp; &nbsp; </font> <br><font size=1 face="sans-serif">&nbsp; &nbsp; &nbsp; &nbsp; To: &nbsp; &nbsp; &nbsp; &nbsp;Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net></font> <br><font size=1 face="sans-serif">&nbsp; &nbsp; &nbsp; &nbsp; cc: &nbsp; &nbsp; &nbsp; &nbsp;</font> <br><font size=1 face="sans-serif">&nbsp; &nbsp; &nbsp; &nbsp; Subject: &nbsp; &nbsp; &nbsp; &nbsp;RE: Cytotec and postpartum hemorrhage</font></table> <br> <br><font size=2 face="Courier New">You would have to be careful with asthmatics and preeclamptics because<br> cytotec can cause bronchospasm and thrombocytopenia.<br> <br> -----Original Message-----<br> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Glen<br> Elrod MD<br> Sent: Thursday, July 17, 2003 9:40 AM<br> To: Multiple recipients of list OB-GYN-L<br> Subject: Cytotec and postpartum hemorrhage<br> <br> Does anyone have any experience with Cytotec and postpartum hemorrhage<br> in women that have just undergone a c-section. &nbsp;I know that Cytotec is<br> contraindicated in women with a previous c-section for labor induction.<br> I have used cytotec rectally for women with vaginal deliveries that have<br> postpartum hemorrhage.<br> <br> The reason this came up is we have a postpartum c/s that is diabetic,<br> asthmatic, preeclamptic with a postpartum hemorrhage. &nbsp;Methergine is<br> out. &nbsp;Hemabate is out. &nbsp;Pitocin was running. &nbsp;Pt is now several hours<br> out from surgery. &nbsp;Any other suggestion?<br> <br> Thanks,<br> <br> Glen<br> <br> --<br> D. Glen Elrod, Maj, USAF, MC<br> Medical Director<br> Women's Health Clinic<br> Elmendorf AFB, AK 99506<br> <br> </font> <br> Next message: Efrain Ramirez: "Re: Cytotec and postpartum hemorrhage" Previous message: Terrence.Jones@kp.org: "Re: OB:   Bladder Flap" Maybe in reply to: Glen Elrod MD: "Cytotec and postpartum hemorrhage" Next in thread: Barbara Nicol MD: "Re: Cytotec and postpartum hemorrhage" Reply: Barbara Nicol MD: "Re: Cytotec and postpartum hemorrhage" Reply: Luis Sanchez-Ramos, MD: "Re: Cytotec and postpartum hemorrhage"

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