Re: Cytotec vs. Prepidil

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Thu Sep 16 22:40:35 2004


Cytotec is the only thing we use for ripening in first and second trimesters - 400 to 600 mcg inserted PV the night before a TOP. By definition you don't have to dilate a complete, incomplete, or inevitable abortion - the cervix is already dilated. For missed abortion it may sometimes be necessary to use a ripening agent and then we use Cytotec. Prepidil is ineffective for first trimester - it is Prostaglandin E2, in a dose which is applicable only to the term pregnancy. So your "Chief Department" is right and you will save a lot of money given that the cost of Prepidil is at least 100 times that of Cytotec. You have been wasting a lot of Euros. Steve Raymond

emilio porro wrote:

> Recently, our Chief Department suggested for economical reasons to
> stop the use of Prepidil for cervical ripening before evacuation by
> currettage for complete,incomplete or internal spontaneous abortion .
>
> We use it to avoid cervical dilatation with hegar with risk of
> uterine perforation,cervical rupture with also the risk of
> medico-legal litigation
>
> How is Your experience in the use of misoprostol in this situations?.
> Thank You in advance
> Emilio Porro M.D.





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