Re: Cytotec and postpartum hemorrhage
From: Terrence.Jones@kp.org
Thu Jul 17 14:52:07 2003
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BRAIN FREEZE! "Now that delivery is complete, CYTOTEC would be a likely
choice" - as you asked. Rupture is no longer a concern (at least a priori
[since she delivered by c/s we know the cause of persistent pp hemorrhage
is not occult rupture]). tj
Terrence Jones/CA/KAIPERM@KAIPERM
Sent by: ob-gyn-l@obgyn.net
07/17/2003 11:30 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
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
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<br><font size=2 face="sans-serif">BRAIN FREEZE! "Now that delivery is complete, CYTOTEC would be a likely choice" - as you asked. Rupture is no longer a concern (at least a priori [since she delivered by c/s we know the cause of persistent pp hemorrhage is not occult rupture]). tj</font>
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<td><font size=1 face="sans-serif"><b>Terrence Jones/CA/KAIPERM@KAIPERM</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 11:30 AM</font>
<br><font size=1 face="sans-serif">Please respond to ob-gyn-l</font>
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<br><font size=1 face="sans-serif"> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net></font>
<br><font size=1 face="sans-serif"> cc: </font>
<br><font size=1 face="sans-serif"> Subject: RE: Cytotec and postpartum hemorrhage</font></table>
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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</font><font size=3 face="Times New Roman"> <br>
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<td width7%><font size=1 face="sans-serif"><b>"Virginia San Miguel" <vsm@ICSI.net></b></font><font size=3 face="Times New Roman"> </font><font size=1 face="sans-serif"><br>
Sent by: ob-gyn-l@obgyn.net</font><font size=3 face="Times New Roman"> </font>
<p><font size=1 face="sans-serif">07/17/2003 10:01 AM</font><font size=3 face="Times New Roman"> </font><font size=1 face="sans-serif"><br>
Please respond to ob-gyn-l</font><font size=3 face="Times New Roman"> </font>
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To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net></font><font size=3 face="Times New Roman"> </font><font size=1 face="sans-serif"><br>
cc: </font><font size=3 face="Times New Roman"> </font><font size=1 face="sans-serif"><br>
Subject: RE: Cytotec and postpartum hemorrhage</font></table>
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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. 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. Methergine is<br>
out. Hemabate is out. Pitocin was running. Pt is now several hours<br>
out from surgery. 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>
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