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Re: Cytotec and postpartum hemorrhageFrom: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net)Thu Jul 17 14:54:06 2003
First, I am not aware of any contraindication to using cytotec in asthmatics or preeclamptics. Second, I have been using 600 mcg (3 200 mcg tablets) of cytotec per rectum for postpartum bleeding. Seems to work quite well and rapidly. Haven't used hemabate for a couple of years now. Lynn -----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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