I have seen and used misoprostil quite a lot in several hospitals, mostly
for PPH and 2nd trimester TOPs.It is highly effective for PPH and can be
given orally. We would get the woman to chew it, not pleasant but quicker
action that way. It is fine given orally as long as narcotics have not been
administered in the previous 4 hours as the narcotic decreases gut motility
and therefore impairs the effects of the misoprostil.I found that especially
when I was in Kununurra and needed to use it , it was a great drug to have
on hand. Remembering that a large portion of that community were at less
than optimal health and often had low hb, poor antenatal care and nutrition,
grand multi etc. As far as I am aware it is ok to use for PPH and recognised
as such even though it was manufactured as a drug to treat gastric ulcers.
The problems surrounding its use and bad press are regarding use for
induction of labour, another story altogether. Hope this helps, Cath
----- Original Message -----
From: "Philippa Scott" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, November 15, 2006 7:56 PM
Subject: RE: [ozmidwifery] getting synto etc
Ok I need some more info I guess. I have had some midwives locally say
that
this is a better option to have at home for an emergency. This is my own
birth I am talking about I am not a midwife, I am a doula and will be
birthing unassisted due to the non-existence of MIPP up here, I am wanting
something on hand for just in case. I have been told Misoprostol is very
effective with few side effects. It will be for me a last resort whilst
waiting for an ambo if things like shepherds purse and eating placenta do
not work (if I have another PPH). Would anyone be able to tell me a bit
more
about the side effect and why you would/would not recommend it. I am due
in
a couple of months so want to start getting something organized and a
decision made about which way to go.
Thank you,
Philippa Scott
Birth Buddies - Doula
Assisting women and their families in the preparation towards childbirth
and
labour.
President of Friends of the Birth Centre Townsville
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Amanda W
Sent: Wednesday, 15 November 2006 4:41 PM
To: [email protected]
Subject: Re: [ozmidwifery] getting synto etc
We use Misoprostol at the hospital where I work and it is kept in the
fridge
next to the syntocinon and syntometrine and the prostins etc.
Why would you want to use it at your homebirth but. Syntocinon should be
just fine. Misoprostol is a fairly heavy drug of choice with a fair few
side
effects and we only use it for large PPH's
Amanda Ward
Creative Memories Consultant
Ph. (07) 3261 4354
Mob, 0417 009 648
Email. [EMAIL PROTECTED]
From: "Lisa Barrett" <[EMAIL PROTECTED]>
Reply-To: [email protected]
To: <[email protected]>
Subject: Re: [ozmidwifery] getting synto etc
Date: Wed, 15 Nov 2006 16:18:45 +1030
misoprostal isn't licenced here is Australia. I wouldn't be prescribing
it
if I were a GP. When I was Working at a private Hospital the Obs kept it
in their own possesion. It isn't licenced to be kept at the hospital as
far as I know. The pharmacy at the hospital wouldn't touch it. It's not
the sort of drug you should have at a homebirth anyway.
Lisa Barrett
----- Original Message ----- From: "Philippa Scott"
<[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, November 15, 2006 3:55 PM
Subject: RE: [ozmidwifery] getting synto etc
I am hoping to get a script for Misoprostal (sp) for my homebirth. Any
ideas. Should I just ask a GP? What are they liable for if they do
prescribe
it.
Cheers
Philippa Scott
Birth Buddies - Doula
Assisting women and their families in the preparation towards childbirth
and
labour.
President of Friends of the Birth Centre Townsville
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey
Sent: Wednesday, 15 November 2006 12:10 PM
To: [email protected]
Subject: Re: [ozmidwifery] getting synto etc
Yes, the synto is about $100 a box. So what I do, is buy/pay for one box,
which lasts for the next women ( does that make sense?), I only use Synto
about once a year! ( and then there are the years you need it 3 times in
a
row!)
Robyn D
----- Original Message ----- From: "Jennifairy"
<[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, November 15, 2006 8:47 AM
Subject: Re: [ozmidwifery] getting synto etc
I have a few births at home coming up and was wondering about synto and
other drugs in my kit. How do others purchase them? Do I have to have a
script from a doctor? The other issue that I do find difficult is the
issue
of cost for homebirth.Others I have been involved in have been for
friends
and colleagues. Does anyone have a schedule of payment and cost that
they
use? I am meeting with a couple on Monday and would love to have a bit
more
idea. Any feedback will be greatly appreciated,
Thanks Cath
Had a client recently who I sent to her GP for a script for synt. She
got
the script, went to the chemist to fill it & found it was going to cost
her around $80 to get it - they only sold it in the boxes of five vials.
I
ended up asking around my MIPP friends & managed to find some that way
(dint need it anyway so its still in my fridge).
If you give me your postal address Im happy to post some to you - my
understanding is that its ok to keep it out of the fridge for a time.
cheers
--
Jennifairy Gillett RM
Midwife in Private Practice
Women's Health Teaching Associate
ITShare volunteer - Santos Project Co-ordinator
ITShare SA Inc - http://itshare.org.au/
ITShare SA provides computer systems to individuals & groups, created
from
donated hardware and opensource software
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