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Re: Demise deliveryFrom: zygote@icsi.netWed Jan 14 09:45:36 2004
Lynn, this is the situation where multiple options exist as you are aware: 1. REpeat C/section - has its own morbidity! 2. Can dilate the cervix with laminaria or since you are close to Canada, obtain Dilapan and do it better, then induction. I would use low dose cytotec 25ug q6H 3. Obtain cx xhange 4-5cm and if there is an experienced person like Al Rosen about then have him see and do D&E. 4. As stated, can wait for spontaneous labor with its own potential for rupture. Personally I would not wait more than 3wks if that was plan chosen. 5. Send her to see Al Rosen! Having been in similar circumstances, I have used method 2 & 5. There is risk but as long as pt is fully informed of all options, then I consider it reasonable. Let me know outcome, Regards Bob On 13 Jan 2004 at 15:39, Lynn D. Montgomery, M.D. wrote:
> Robert J. Carpenter, Jr., M.D. St. Luke's Medical Tower # 2720 6624 Fannin, Houston, TX 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422
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