OB-GYN-L Messages for September, 2004: Cytotec , Prepidil,Cervidil and my mistake

I am sorry for the big mistake I have done in the e-mail (I was tired for too work)

Here in Italy:

Cervidil(Serono)gemeprost 1 mg one vaginal tablet 38,61 euro each is used only for cervical ripening in missed abortion or voluntary interruption of pregnancy in first trimester.

It is never used at the end of pregnancy for cervical ripening.

Prepidil (Pharmacia):vaginal gel

0,5 mg endocervical each 49,98 euro

2mg intravaginal each 67,58 euro

Is used at the end of pregnancy for cervical ripening and induction of labor.

Cytotec 200 (Pharmacia) 50 oral tablets of 200mcg 15,47 euro

There is in Italy few experience for induction of labor at the end of pregnancy or for cervical dilatation when missed abortion (ex.bligthed ovum)

I am correct that Cervidil(Gemeprost) in USA is used for cervical ripening at the end of pregnancy as posted by several collegues?

Yours faithfully

Emilio Porro MD ObGyn

Como-Italy

www.sanbonaventura.com

You wrote:

>From: Steve & Eryl Raymond <eryl@intekom.co.za>

>Reply-To: ob-gyn-l@obgyn.net

>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>

>Subject: Re: Cytotec vs. Prepidil

>Date: Thu, 16 Sep 2004 22:41:37 -0500

>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.

use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
	Returns per screen: Require all keywords: