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Re: pushing the cytotec (misoprostil) envelope (was pg forFrom: art fougner, md (evsono@pipeline.com)Wed Nov 19 07:38:07 1997
At Tue, 18 Nov 1997, David Hunter wrote: > >whew! thanks to the first slow call shift in months and a regrettably >increased delete ratio, I'm caught up on the list (it's been a long time) > >I appreciate that cytotec along with prostaglandins are not reasonable >choices for augmentation because they are more difficult to titrate. >However, the difference between induction and augmentation is not >always clear. > >Consider the following: >G2P1 at 41.5 weeks, cervix 2-3cm and long, changing to 4/70% after >oral cytotec (50mcg), contractions irregular; arom'd and progressed to >5/80, but still with irregular ctx and no further change after two hours. >Pt wants to avoid pitocin. Who would use another dose of cytotec here? > how about amniotomy????
art
>What is the criteria for no longer using cytotec? degree of cervical
-- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com
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