Re: Maternal deaths, and risk of misoprostol for missed AB

From: Gerald P. Rodríguez (geraldpr@cybermesa.com)
Sat Mar 18 15:50:26 2006


You are correct; I believe I miss-read the WSJ article.

Gerald P. Rodríguez, M.D., FACOG Santa Fe

>----- Original Message -----
From: "Betsy Hyde" <elishyde@mindspring.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Saturday, March 18, 2006 3:32 PM Subject: Re: Maternal deaths, and risk of misoprostol for missed AB

> The RU-486 was given orally. Part 2, the misoprostil, was given off
> label intravaginally. This is a difference between Planned Parenthood and
> FDA. The women had septic abs d/t clostridia.
>
> Betsy Hyde CNM
> Branford, CT
>
> On Mar 18, 2006, at 1:16 PM, Gerald P. Rodríguez wrote:
>
>> Today's Wall Street Journal reports that Planned Parenthood in
>> Washington DC said yesterday that it was changing its prescribing
>> practices for the use of MIFEPRISTONE (Mifprex) (RU-486) in light of two
>> recent maternal deaths associated with its use vaginally instead of
>> orally. Its vaginal use is off-label and this practice is now being
>> implicated in the death of 6 total patients from sepsis.
>>
>> Gerald P. Rodríguez, M.D., FACOG
>> Santa Fe
>>
>> ~~~~~~~~~~~~~
>> Quien calla otorga.
>> ~~~~~~~~~~~~~~
>> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

>>> ----- Original Message ----- From: <igold@COX.NET>
>> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
>> Sent: Saturday, March 18, 2006 9:58 AM
>> Subject: Maternal deaths, and risk of misoprostol for missed AB
>>
>>> In light of the recent news linking maternal deaths to use of vaginal
>>> administation of misoprostol, what do you think of continuing its use
>>> for missed AB? Do you think oral administation would reduce the risk?
>>> Why? From what I understand, 6 maternal deaths have now been attributed
>>> to vaginal use of misoprostol (my sources are NPR driving home from
>>> work last night, and this morning's Arizona Republic newspaper) Thanks,
>>> Ingrid Gold, CNM, Phoenix
>>
>





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