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Re: IUD/AbruptionFrom: Myer S. Bornstein (mborn@massmed.org)Wed Jun 5 12:36:16 1996
Cytotec = misoprostil, used orally for peptic ulcer disease, is a prostoglandin. Comes in 100 mcg tab. we use 25 mcg pv q 4 hrs x max of six doses for softening an unripe cervicx for induction. Do have to watch for close frequent contatctions and moniter them, we have had some without any fetal distress. we place a saline lock in place for the use of MgSO4 for tocolysis if needed. We find that most patients will go on to a regular labor pattern and need less pitocin than would normally be needed. It is also recomended that you could use 100 -200 mcgs of cytotec for induction of a fetal demise the dosage schedule q12 hrs. It is much better than the gel in terms of price, less side effects - nausea, vomiting- fever. Hope this helps Myer
-- Myer S. Bornstein, M.D., FACOG Chief Department of Obstetrics and Gynecology Morton Hospital and Medical Center Taunton, MA 02780
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