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Re: [2]: new caseFrom: Karen J. Bacon, NP, BSN (karennp@voyager.net)Sat Aug 30 17:07:26 1997
> > I really don't find too many people with 8 to 11 week missed Abs, most > of whom present with spotting, who wish to wait for spontaneous passage > and the possibility of needing a D and C, as well as heavy bleeding, > cramping, and waiting for tissue to pass. I admit I may bias the > patients in favor of D and C. How do you convice private patients to > not have a D and C? I don't know if I'm the "missed AB" magnet or what, but I usually average 2-3 first trimester missed AB's per month. About 50-60% of my patients opt for expectant management. I'm interested in the use of misoprostol to expedite things, as many of these women end up changing their minds for D&C after a week of so if anything hasn't happened just to get the waiting over. I think many of these women could handle aborting spontaneously if something could help get the process going. Has anyone used a dose different from Lynn's recommendation for 100mg q 4 hrs.?
-- Karen J. Bacon, RNC, WHNP Kalamazoo, Michigan karennp@voyager.net
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