Misoprostol protocol

From: dahmd (dahmd@gate.net)
Sun Jun 8 13:58:16 1997


The misoprostol protocol we currently use:

Contraindications:

1. Bishop's score of 7 or greater.

2. Contractions less than 10 minutes apart (ie more than 6 per hour).

3. Multiparity with greater than 6 term deliveries.

4. The usual stuff: prior classical c/s, undiagnosed bleeding, fetal distress, malpresentation, etc.

Usage:

1. 25-50 micrograms to posterior fornix every 6-8 hours.

2. Hold further doses if greater than 6 contractions per hour.

3. Use continuous fetal monitoring.

4. No more than 8 doses (I have never seen a patient get this many).

That's the main info. I hope this answers your questions!

Ashley D. Ashley Hill, M.D. Assistant Director Department of Ob/Gyn Florida Hospital Family Practice Residency Orlando, FL dahmd@gate.net





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