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Misoprostol protocolFrom: 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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