Re: OB: Missed Ab medical treatment

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Tue Dec 16 09:18:09 2003


I'm not sure that Cytotec would cause a disruption of the uterus at this gestational age, if that is your worry. Using either 400 or 800ug is a great option, but make sure you give her plenty of opiates and antiemetics.

--
Richard Chudacoff, MD

There is a certain relief in change, even though it be from bad to worse! As I have often found in travelling in a stagecoach, that it is often a comfort to shift one's position, and be bruised in a new place. Washington Irving

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Charlie Chambers Sent: Tuesday, December 16, 2003 10:13 AM To: Multiple recipients of list OB-GYN-L Subject: Re: OB: Missed Ab medical treatment

Agree with Garry. Would merely wait it out, and have regular contact with her.

On Tuesday, December 16, 2003, at 07:56 AM, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote:

> At Tue, 16 Dec 2003, Garry E. Siegel, M.D. wrote: >> >> I have a 33 YO P2012, now 8.5 weeks with a missed Ab--pole, no FHTs, >> around 7 week sized fetus. A year ago, during a D and C for a similar >> situation, she had a perforation, underwent immediate laparoscopy, and >> subsequently had retained POC requiring a D and C/hysteroscopy a few >> weeks later to remove old POC. Her cavity was normal at the time. >> >> Does anyone have any experience with using misoprostol, etc., for >> medical evacuation? I have spoken with one person who uses 800 mcg. >> vaginally with good success. >> >> Please post or email privately. >> >> Garry >> >> -- >> Garry E. Siegel, M.D. >> Private Practice >> Roswell, GA >> > > Whats wrong with doing nothing and waiting for her to misscarry, > waiting > for her to have some cramps and bleeding will make for an easier D&C if > it should > come to that. > > -- > Take care, John > ************************************************************************ ****** Charlie Chambers

--
Hood River, OR  USA
cchamber@alumni.rice.edu

"All good things...come by grace, and grace comes by art, and art does not come easy."

Norman Maclean ************************************************************************ *******





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