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Re: oral misoprostol for cervical priming...opinion on dosage please. From: Andrew Folley (agfolley@hotmail.com) Wed Jun 13 11:19:39 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Induction for post term" Previous message: art fougner, md: "Re: R.I.P." In reply to: frances wren: "oral misoprostol for cervical priming...opinion on dosage please." Next in thread: Andrew Folley: "Re: Induction for post term" I love mysoprostel for cervical ripening and labor induction. However it has gotten some bad press the last 2 years with ruptured uterus, amniotic fluid embolism, tachysystole etc. We only use it vaginally and at a dose of 50mcg intially and 25mcg q 4 hours vaginally. I have read that it works as well if not better when given orally and the levels are more stable etc. The problem being it is hard to reverse it orally if overstimulation results. Please direct us to any articles or portocols on oral cytotec use for labor??? agf >From: fwren@shaw.ca (frances wren) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: oral misoprostol for cervical priming...opinion on dosage please. >Date: Wed, 13 Jun 2007 10:14:34 -0500 > >some years ago I used oral misoprostol 100 mcg q6h for post mature women >to get them into labor, if I thought it was indicated. >recently ,in my old age,I have become more "literature"cautious using >50MCg in place of the 100 mcg ...also q6h. >It seems that most of the time it works and the woman goes into labor >without problem...or problems. > >however this morning my rather grumpy colleague pointed out to >me!!!50MCG never works we give 100... >we work in a very busy Ob unit very crowded..often no beds ..so I tend >to give misoprostol and if OK I send home to await labor. >Patients here have no money to stay in hosp any longer than necessary. > >opinion..re oral do you give 100..or 50..(my reading suggests 50..though >I used to give 100..have just been trying to be more academically >correct!!!) > >we also give PV misoprostol...but the opinions I am after is re oral >misoprostol. > >thanks for youe help everyone > >-- >frances wren Next message: Andrew Folley: "Re: Induction for post term" Previous message: art fougner, md: "Re: R.I.P." In reply to: frances wren: "oral misoprostol for cervical priming...opinion on dosage please." Next in thread: Andrew Folley: "Re: Induction for post term"

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