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When I worked in the US it seemed to be the
induction agent of choice. Interestingly they then seem to put up oxtocic
infusion BEFORE rupture of membranes.
Here in Perth it is used primarily for interruption
of pregnancy, but also used in postpartum hameorrhage - given PV in both
instances
Kirsten
----- Original Message -----
Sent: Sunday, April 18, 2004 11:17
AM
Subject: Re: [ozmidwifery] VBAC
Jen,
I have not seen it used other than for termination. That is several
hospitals in Nth Qld.
Cheers
How common is the use of misoprostol for induction in Australia?
I've read it's used quite a lot in the US & that it's used in
abortion in Australia, but all I've seen used for induction (in my 2 years
as a mid student) in Oz is Prostin.
Would love to hear your thoughts/experiences.
Jen
3rd year BMid, Melbourne
Mary Murphy
<[EMAIL PROTECTED]> wrote:
| 20040414-39 Uterine
rupture associated with misoprostol labor induction in
women with previous cesarean delivery - European Journal of Obstetrics and Gynecology and
Reproductive Biology , vol 113, no 1, March 2004, pp
45-48 Aslan H; Unlu E; Agar M; et
al - (2004) |
| |
OBJECTIVE: To review our experience with
uterine rupture in patients undergoing a trial of labor with a
history of previous cesarean delivery in which labor was induced
with misoprostol. STUDY DESIGN: A retrospective chart review was
used to select patients who underwent induction of labor with
misoprostol during the period from February 1999 to June 2002. Women
with a history of cesarean delivery were retrospectively compared
with those without uterine scarring. RESULTS: Uterine rupture
occurred in 4 of 41 patients with previous cesarean delivery who had
labor induced with misoprostol. The rate of uterine rupture (9.7%)
was significantly higher in patients with a previous cesarean
delivery (P<0.001). No uterine rupture occurred in 50 patients
without uterine scarring. Women with a history of cesarean delivery
were more likely to have oxytocin augmentation than those without
uterine scar! ! ring (41% versus 20%; P=0.037). CONCLUSION:
Misoprostol induction of labor increases the risk of uterine rupture
in women with a history of cesarean delivery. (16 references)
(Author)
| Article Type: |
Original research |
|
Yet VBAC women are still being induced this
way. 4 out of 41 is pretty definite.
M
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