Re: Cytotec

From: james connerth (babydoc@apex.net)
Tue Mar 16 07:28:55 1999


"Dr. P. Peterman" wrote:

> At Tue, 16 Mar 1999, Paul Prior MD wrote:
> >
> >On Mon, 15 Mar 1999 10:27:47 -0600, Latisha Lochabay CNM, MSN wrote:
> >
> >>Do not use K-Y jelly.
> >
> >Based on? pH?
> >
>
> I have routinely used K-Y jelly to perform vaginal exams and place
> misoprostol for many years. I am not aware of any studies that have
> compared K-Y with placebo. There have been one or two studies (help her
> Luis!) that have investigated crushing the misoprostol up and placing it
> in a delivery vehicle like K-Y. Simply, it works just fine in tablet
> form, placed intravaginally, with K-Y jelly, betadine, amniotic fluid,
> blood, whatever.... Using K-Y or any lubricant complicates things
> inasmuchas it necessitates a greater degree of manual/digital dexterity
> to place it in the posterior fornix. I am unaware of any work on
> vaginal pH and the efficacy of misoprostol. In fact, it works fine in
> the human stomach!
> The pH in the stomach usually acidic---as is nl. vagina;blood,betadine,KY
> can render this more basic and perhaps slo tab. uptake---Some place little
> acetic acid(vinegar)on tab prior to placement.
> P.Peterman.





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