Re: A few things

From: zygote@ICSI.Net
Tue Mar 18 14:44:09 1997


> Date: Tue, 18 Mar 1997 00:17:59 -0600
> Reply-to: ob-gyn-l@obgyn.net
> From: elvis@llano.net (Michael J. Wolpmann, M.D.)
> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
> Subject: Re: A few things

> >We use 50 micrograms of misoprotol in the posterior fornix every 4 hours until
There is randomized prospective study for termination using cytotec in the NEJM.The dosage was 200ug in the posterrior fornix. I would be very hesitant to use 600ug for an IUFD. Unless you have been associated with a ruptured uterus from too much of an oxytocic and you like to revisit that occurrence in a new patient, use of the 200ug on a q12hr basis works well. If one wants to use another effective medication then Hemabate 0.25mg IM q2hrs will usually initiate delivery and complete it in the IUFD population. After the 3rd dose, the majority of patients will experience one or more GI side effects. Robert J. Carpenter, Jr. MD St. Luke's Medical Tower,#2720 6624 Fannin,Houston,Tx 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422 (H):713-664-8888





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