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Re: Cytotec From: Efrain Ramirez MD (eramirez@icepr.com) Mon Mar 15 09:27:01 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: LMontgomery: "Low Molecular Weight Heparin" Previous message: art fougner, md: "Re: Cytotec" In reply to: Latisha Lochabay, CNM, MSN: "Cytotec" Next in thread: Dr. P. Peterman: "Re: Cytotec" You can start from here. http://www.obgyn.net/english/ob/MisoprostolProtocol.htm Art is right..Luis is the man. Luis Sánchez-Ramos has a lot of experience with it. In our institution we are using Misoprostol since about a year with very good results. (skyrocketing prices of Prostin...besides it is a GOOD drug) We do about 300 deliveries/month..large % of inductions. We do not recommend it on VBAC's..due to recent events at USC…(I personally believe misoprostol had nothing to do with those bad outcomes but….) Do not use K-Y jelly. Terbutaline use is rare, in contrast with Prostin gel. Misoprostol causes tachysystole…rarely hyperstimulation. Feel free to e-mail me for further assitance. Don't forget to ask Luis... At Mon, 15 Mar 1999, Latisha Lochabay, CNM, MSN wrote: > >We've recently begun to use Cytotec for cervical ripening/ induction of >labor in our population. I'm trying to put together a guideline for its >use. I've done some reading (green journal, 11/98, and others) but >would like to pose a few questions to those of you who routinely use >Cytotec. > >What selection criteria do you use? Primip? Multip? VBAC? Bishop score? > >Do you require a reactive strip prior to the Cytotec? How long do you >require the woman/fetus to be monitored before sending home? > >What dosage (and route) are you using for ripening/induction and for >fetal demise? > >Do you use terbutaline for hyperstim contractions? If so, how often? Has >this been effective? > >Thanks in advance for any assistance you may be able to offer. > >-- >Latisha Lochabay CNM, MSN >Commonwealth Health Center >Saipan, CNMI > -- Efrain Ramirez MD FACOG "The things you learn after you know everything are the important ones" Next message: LMontgomery: "Low Molecular Weight Heparin" Previous message: art fougner, md: "Re: Cytotec" In reply to: Latisha Lochabay, CNM, MSN: "Cytotec" Next in thread: Dr. P. Peterman: "Re: Cytotec"

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