Re: A few things

From: douglas krell (douglas.krell@nsionline.com)
Sun Mar 16 18:45:45 1997


RSchnei487@aol.com wrote: >
> Is anyone using CYTOTEC for cervical ripening??

While we do not use it for ripening, we are using it (almost exclusively) for induction of labor in any patient whose cervix is <2-3 cm. We've done a local RCT compaing 50 mcg to 25 mcg and 50 is the superior dosage. We've seen no cases of hyperstimulation that did not respond to a 2 gram bolus of MgSo4. You can almost count on a delivery 12 hours after inserting the Cytotec tablet.

I understand that it has few > side effects and only costs about forty cents per tablet.

The usual side effects of prostaglandin are minimized with this medication...almost non-existant, though one must certainly exercise judgement with asthmatics

> We have a new OB-GYN at our hospital that is using amnioinfusion for mec.
> stained fluid. The last I heard this wasn't done anymore.

People are still using it in our institution for cord compressions as well.

> When are you inducing for post dates 41 or 42 weeks??

Between 41 and 42 in most cases

--
Douglas Krell MD




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