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Re: Cytotec and postpartum hemorrhage From: Steve & Eryl Raymond (eryl@intekom.co.za) Fri Jul 18 23:34:41 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Steve & Eryl Raymond: "Re: ABOG Case list software" Previous message: DoctorJoe@aol.com: "Re: Labor definition" Maybe in reply to: Glen Elrod MD: "Cytotec and postpartum hemorrhage" Next in thread: art fougner, md: "Re: Cytotec and postpartum hemorrhage" Reply: art fougner, md: "Re: Cytotec and postpartum hemorrhage" Reply: art fougner, md: "Re: Cytotec and postpartum hemorrhage" It seems a good time to say that we have used 5 tablets (1 gram) rectally in cases of post partum uterine atony with patchy results. I don't want to say that it is no use at all, but there have been occasions where I saw no improvement, and the results could be best described as disappointing. A study done recently, the source of which I have totally forgotten, showed results which were worse than all other ecbolics in current use, but better than nothing or placebo!! Steve Braun, R. Daniel wrote: >If the uterus is still floppy and bleeding after giving pit IV, then we >put 600 mcg intrarectlly. Someone has to reach under the drapes to do >it. > >Dan > >-----Original Message----- >From: Glen Elrod MD [mailto:glen.elrod@elmendorf.af.mil] >Sent: Thursday, July 17, 2003 4:32 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: Cytotec and postpartum hemorrhage > >I've never heard it being contraindicated in asthmatics either. > >Dr Braun...how do you use it after c/s? Regularly or just for >hemorrhage after pit fails? > >Glen > >At Thu, 17 Jul 2003, Efrain Ramirez wrote: > >>Haven't heard it is contraindicated in asthmatics - ! >> >>If there is no Hamabate - you can use it - rectally or/and PO - I dont >>think it is as good as Methergine or Hemabate. >> >>At Thu, 17 Jul 2003, Braun, R. Daniel wrote: >> >>>Cytotec is also a prostaglandin. Can't use in asthmatics either. >>> >>>We use it after C/S. It is our second choice after pitocin. >>> >>>-----Original Message----- >>>From: Glen Elrod MD [mailto:glen.elrod@elmendorf.af.mil] >>>Sent: Thursday, July 17, 2003 10:41 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? >>> >>>Glen >>> >>>-- >>>D. Glen Elrod, Maj, USAF, MC >>> > -- S.H. Raymond FRCOG Principal Specialist Department of Obstetrics & Gynaecology Empangeni Hospital Private Bag X20005 Empangeni SOUTH AFRICA 3880 Phone: (+27)-35-9028560 Fax: (+27)-35-7922596 Next message: Steve & Eryl Raymond: "Re: ABOG Case list software" Previous message: DoctorJoe@aol.com: "Re: Labor definition" Maybe in reply to: Glen Elrod MD: "Cytotec and postpartum hemorrhage" Next in thread: art fougner, md: "Re: Cytotec and postpartum hemorrhage" Reply: art fougner, md: "Re: Cytotec and postpartum hemorrhage" Reply: art fougner, md: "Re: Cytotec and postpartum hemorrhage"

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