Re: Cytotec and postpartum hemorrhage

From: Mary W. Beecher MD (mwbeecher@hotmail.com)
Fri Jul 25 15:26:32 2003


At Thu, 17 Jul 2003, Lynn D. Montgomery, M.D. wrote: >
>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
>Lynn- Could you send me a type of protocol that is used for the Cytotec post-partum? The consultant that is near by seems hesitant to use it. 2ndly, Did you start your training in Sioux Fallls,SD at the FPC Residency? I think you started there with me.
>-----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
>

--
Mary W. Beecher MD




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