Re: A few things (Misoprostol protocol)

From: douglas krell (douglas.krell@nsionline.com)
Wed Mar 19 17:24:13 1997


Dr. Hill wrote:

> >It has subjectively dramatically improved the time to delivery and induction
> >success rate, and I'm waiting for the pregnant nurses to take some home to
> >induce labor when they hit 38 weeks :)

I've suggested to the nurses on Labor and Delivery that the day will come when the OB/GYN lines up all of her/his 39 weekers on a Thursday. They have an early lunch followed by an NST in the office. If reactive, and all other criteria are met, they have 50 mcg Cytotec placed in the vagina in the late afternoon and head over to LandD. If all looks well they'll be sent home and asked to return when contractions are stronger, SROM, bleeding, etc... The majority will return around 1am and deliver before outpatient surgery starts on Friday morning.

The nurses seem unenthusiastic about this plan, and Thursday night might be an experience, but it would certainly improve my attitude about the rest of the week!

Doug

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Douglas J. Krell MD FACOG
Galisteo OB/GYN Associates PC
Santa Fe, New Mexico
douglas.krell@nsionline.com

"If there were no silliness in the world, nothing intelligent would ever get done" Ludwig Wittgenstein @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@





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