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Re: Cytotec ripening/inductionFrom: Marie Harkins (mharkins@twcny.rr.com)Thu Sep 16 18:17:28 2004
I was wondering how folks are monitoring women after cytotec. Some practitioners here use 25mcg vaginally, monitor for 2 hours and then either continue with ripening or discharge home to return tomorrow. There has been some debate as to whether this is appropriate. My brother, an Ob Gyn who has practiced in other parts of the country, says that discharging women home after two hours of monitoring is way out of line with what others are doing. He says that there have been cases of hyperstimulation as much as 9 hours after placement of cytotec (not sure what dose that was). There would be no way to defend yourself if something like that happened after you sent a woman home. I have not been able to find documentation to back this up. I would love to hear how some of you routinely use this.
-- Marie Harkins, CNM Ithaca, NY
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