Hi Anke
Have seen shivering diarhoea and increased temp in women having termination
with misoprostol... But this is a 6th hrly dose...when used for pph it would
be a one of dose... Much of the bad press it has gotton has been because the
doses used in iol are varied (and the 'correct' dose is unknown) and I think
it increases the chance of uterine rupture in VBAC. Certainly agree that in
the long run an oxytocic is a better choice but when these aren't available
it may be quite useful.
Lisa

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Anke Dalman
Sent: Friday, 17 November 2006 7:07 PM
To: [email protected]
Subject: RE: [ozmidwifery] getting synto etc


Hi Philippa,
Misoprostol has a lot of side effects, just search the web on CYTOTEC (the
American name). It is used in areas where refrigeration is not possible.
When this is possible Syntocinon and/or Syntometrine are better options.
Whatever you decide: good luck. Love Anke

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Philippa Scott
Sent: Wednesday, 15 November 2006 6:57 PM
To: [email protected]
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
>>>--
>>>This mailing list is sponsored by ACE Graphics.
>>>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
>>
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