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Re: Misoprostol *induction* versus ripening From: Anna Meenan, MD (annam@uic.edu) Sat Apr 18 12:48:06 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Deborah J. Wage FNP, CNM: "tornados" Previous message: Gail Waldby, MD: "Dysmenorrhea and adult diagnosis of cystic fibrosis" In reply to: Robert J. Woolley: "Re: Terrible KS Law" Next in thread: Sam Saidi: "Re: Filshi Clips for Postpartum Tubal???" At Thu, 16 Apr 1998, Tim and Jude Kurokawa wrote: > >When you find that partially disolved tab, rub it around the posterior >fornix and wait another couple of hours. You might just be surprised. I >sure was. Couple times she blooms into fulblown labor. >If nothing, then another 50 mcg. All you're loosing is a couple of hours. > >Jude >V<>V<>V<>V<>V<>V<>V<>V >Jude Kurokawa, CNM, FNP >513 Dayton St. Wolf Point, MT 59201 406-653-1608 >Home and Hospital births on the Rez >The Coyote midwife sits by the hole and waits.... >mailto:jkuro@midrivers.com HTTP://www.midrivers.com/~jkuro >V<>V<>V<>V<>V<>V<>V<>V<>V > >-----Original Message----- >From: Garry E. Siegel, M.D. <garrys@mindspring.com> >To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> >Date: Thursday, April 16, 1998 7:41 PM >Subject: OB: Misoprostol *induction* versus ripening > >>My hospital just has started a protocol, and it is essentially written >>for ripening--50 mcg. intravaginally every four hours, unless >>contracting every 7 minutes. >> >>Anyway, today after the second dose, the patient had changed her cervix >>from 0/0 to 0/70%, and was contracting every 4 minutes, regularly, but >>mild (she barely felt them). >> >>I wanted to keep going, but the nurses were reluctant. What do ya'll >>do? Does anyone keep going with this for induction, and when do you stop >>re-inserting. Also, the misoprostol tablets (100 mcg., cut in half) >>were not fully dissolved when I went to reinsert at 4 hours, as I got a >>partially dissolved tablet in return. >> >>Garry >> >>Please reply to the list or email privately >>' >> >>-- >>Garry E. Siegel, M.D., FACOG >>Private Practice >>Roswell, Ga. The nurses at our hospital tell (admittedly anecdotal) stories of these inductions frequently resulting in rapid precipitous labors that "blast the baby out of there" in just a few hours, not unlike the old days of buccal pitocin. Since it's not FDA approved for that purpose, I'd be cautious about pushing it. -- Anna Meenan, MD Next message: Deborah J. Wage FNP, CNM: "tornados" Previous message: Gail Waldby, MD: "Dysmenorrhea and adult diagnosis of cystic fibrosis" In reply to: Robert J. Woolley: "Re: Terrible KS Law" Next in thread: Sam Saidi: "Re: Filshi Clips for Postpartum Tubal???"

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