Re: IUD/Abruption

From: dahmd@gate.net
Tue Jun 4 20:43:08 1996


In article Armando Fuentes <afuentes@onetinc.com> writes:

>Luetic5@aol.com wrote:
>>
>> Cytotec 200 microgram tab intravaginally.
>>
>> Better question...
>> What to do with a 20 week anencephalic in a patient with a prior T
>> incision?

>I would still consider Cytotec 200 mcgms., risk of rupture is very low.

>A.Fuentes
>Div. Maternal Fetal Med
>Arnold Palmer Hosp
>Orl. FL.
>afuentes@onetinc.com

This cytotec stuff seems to work great. The other day I was struggling to get a patient with severe preeclampsia at 30 weeks into labor, and despite prostin gel (x3) and pitocing, she was still 1cm and going nowhere. She really wanted a vaginal delivery, and there was no pressing reason to section. I spotted Armando in the hallway, and he suggested 50mcg of misoprostil, and, amazingly, she delivered without complications 6 hours later! No wonder the patients I refer to him call him "the King of Ob/Gyns!"

Ashley D. Ashley Hill, M.D. Dept of Ob/Gyn Florida Hospital Orlando, FL dahmd@gate.net





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