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Re: Cytotec induction From: Richard Chudacoff, MD (richardc@bcm.tmc.edu) Thu Oct 24 16:31:35 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Danny Tucker: "Chicken Pox exposure 1st trimester" Previous message: Richard Chudacoff, MD: "Re: Cytotec induction" Maybe in reply to: Richard Chudacoff, MD: "Cytotec induction" Next in thread: mborn: "Re: Cytotec induction" Myer Any untoward fetal reactions, complications since you have started this protocol? How to you cut the 100 mg tablet? How do you wash it out of the vagina in case of tachysytole? Have you seen much hyperstimulation? Rick >Myer: >How about posting your protocol on the list ? or pleases send me a copy >too. But I bet there are several out there who would like to see it. >Dan > >O.K. Here it is >Myer > >Date: October 24, 1996 >From: Myer S. Bornstein, M.D., Chief Department of Obstetrics and >Gynecology > >Subject: Misoprostol (Cytotec) for Cervical ripening and induction of >labor > >Misoprostol (Cytotec) is a synthetic PGE1 analogue. >For cervical ripening and induction: >1. Do NST >2. Insert 25 mcg. tablet in vagina >3. Standard V.S. >4. If patient with prior C/S insert IV and do T&S >5. can repeat dose every four hours up to a total of 6 doses. >6. Pitocin can be started four hours after last dose >7. After three to four hours patient can ambulate. >8. Watch for tachysystole, if occurs remove vaginal tablet (our cases >have not shown any fetal distress) >Second Protocol Oral Dosing >1. Do NST >2. Give 100 mcg. tablet p.o. >3. Standard V.S. >4. If patient with prior C/S insert IV and do T&S >5. Pitocin can be started four hours after last dose >After three to four hours patient can be discharged home and to return >if labor ensues of the next day for induction. > >Myer S. Bornstein, M.D., FACOG >Chairman Department of Obs/Gyn >Morton Hospital & Medical Center >88 Washington St. >Taunton, MA >mborn@massmed.org > -- Richard Chudacoff, MD Assistant Professor, OB/GYN Baylor College of Medicine BaylorMedCare 1601 Main St., STE 505 Richmond, TX tel 713-344-0277 fax 713-344-0288 In the long run men hit only what they aim at. -Thoreau Next message: Danny Tucker: "Chicken Pox exposure 1st trimester" Previous message: Richard Chudacoff, MD: "Re: Cytotec induction" Maybe in reply to: Richard Chudacoff, MD: "Cytotec induction" Next in thread: mborn: "Re: Cytotec induction"

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