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Re: Cytotec for induction (was RE: IUD/Abruption)From: Douglas Krell (sfth@roadrunner.com)Wed Jun 5 22:41:22 1996
We have a protocol for cytotec induction of labor at term that was developed in cooperation with the Florida group who published their results in the Green Journal about 2 years ago. Our experience is completely unscientific, however we have a favorable impession of the medications ability not only ripen the cervix, but also to initiate uterine contractions and help effect delivery in a way that rarely requires other intervention such as oxytocin. There seems to be a long latent phase, follwed by a rather rapid active phase and delivery. The dosing is q 12 hours and this makes a convenient interval for all concerned. The tablet is placed directly into the cervix.Again this is not well studied and of course the manufacturer will disavow any knowledge of the medication being used for these purposes In fact we are just a little worried that Mother Nature may be facing a challenge of her ability in this department and that people in the future will be lining up on their due date to get a cytotec to take home, insert, and then 6 hours later check in to the hospital and 6 hours after that, deliver. Somehow I doubt it will come to that, but you never know...
-- Douglas Krell MD sfth@roadrunner.com
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