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Re: Long induction and uterine atony From: R. Daniel Braun (rd.braun@gmail.com) Mon Aug 21 08:21:38 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: How to approach a case" Previous message: rmodugno@aol.com: "Re: Gyn: How to approach a case" In reply to: Gerald P.Rodriguez: "Re: Long induction and uterine atony" Next in thread: DoctorJoe@aol.com: "Re: Long induction and uterine atony" Obviously, through the RETROSPECTROSCOPE, this patient would have been better served with a section PRIOR to the onset of labor. My question to all is When are we going to start decicding this when we can do something about it? i.e. PROSPECTIVELY And perhaps just as importantly, when will our opatients believe us????? Dan Oh, I forgot. I should have said when will your patients believe you? Professor Emeritus On 8/20/06, Gerald P.Rodriguez <geraldpr@cybermesa.com> wrote: > > Dan, the patient I have in mind is exactly who you describe G2P0AB1, 33 > hours of Cytotec + Pitocin, unripe cervix, floating head throughout. Post > C/S hemorrhage, uterus totally unresponsive to pitocin, methergine, > hemabate, massage. Multiple transfusions and finally hysterectomy but not > before shock, DIC. Good baby and in the end healthy Mom. This was, IMHO, a > case of overly aggrieves management suspicion of post-datism even > though little data to support that diagnosis either pre or post delivery. > > As to mechanism, I'm wondering if there is any science that points > to myometrial receptor depletion after so much pharmacologic stimulation? > > I thank everyone for their responses. > > Gerald P. Rodríguez, M.D., FACOG > Santa Fe > > -- > R. Daniel Braun > > "The way to health is an aromatic bath and scented massage > everyday". > Hippocrates > Next message: ainsron: "Re: How to approach a case" Previous message: rmodugno@aol.com: "Re: Gyn: How to approach a case" In reply to: Gerald P.Rodriguez: "Re: Long induction and uterine atony" Next in thread: DoctorJoe@aol.com: "Re: Long induction and uterine atony"

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