There seems to be a lot of posts about Misoprostol but no talk of the increased 
risk this drug puts women at for uterine rupture. It can be quite a nasty drug 
and the pharmaceutical company that manufacture misoprostol aka cytotec have 
issued warnings against using the drug for women during childbirth.

Love Abby



> LJG <[EMAIL PROTECTED]> wrote:
> 
> 
> 
> Ovid Technologies, Inc. Email Service
> ------------------------------
> Results: Obstetrics & Gynecology 
> 
> (C) 2005 The American College of Obstetricians and Gynecologists
> 
> Volume 105(4) Supplement, April 2005, p 39S
> 
> Prophylactic Use of Misoprostol in the Third Stage of Labor [Papers on
> Current Clinical and Basic Investigation: Poster Sessions: Monday, May 
> 9,
> 2005: Obstetrics]
> 
> Baskett, Thomas F. MB; Persad, Vidia MB; Clough, Heidi RN; Young, David 
> MD
> Dalhousie University, Halifax, Nova Scotia, Canada (Baskett)
> 
> ----------------------------------------------
> 
> Outline
> 
>   OBJECTIVE:
> 
>   METHODS:
> 
>   RESULTS:
> 
>   CONCLUSIONS:
> 
> OBJECTIVE:
> 
> To assess the effectiveness of oral misoprostol in comparison with
> intravenous oxytocin in reducing bleeding during the third stage of 
> labor.
> 
> METHODS:
> 
> A double-blind, randomized controlled trial comparing oral misoprostol 
> 400
> [mu]g and intravenous oxytocin 5 U, given after delivery of the anterior
> shoulder of the fetus, was performed. The primary outcome was a 
> hematocrit
> drop greater than 10% at 24 hours postpartum. Secondary outcomes 
> included
> hemoglobin drop greater than 30%, need for additional oxytocics, blood 
> loss
> greater than 1,000 mL, manual removal of placenta, blood transfusion, 
> and
> the adverse effects of shivering and fever.
> 
> RESULTS:
> 
> Results for the intravenous oxytocin (n = 311) and oral misoprostol (n =
> 311) groups are as follows (expressed as percentages of each group):
> hematocrit drop greater than 10%, 3.4% and 3.7%, respectively (P = NS);
> hemoglobin greater than 30%, 8.9% and 10.2%, respectively (P = NS); 
> blood
> loss greater than 1,000 mL, 2.3% and 4.5%, respectively (P = NS); manual
> removal of placenta, 8.0% and 8.0%, respectively (P = NS); additional
> oxytocics, 40.5% and 51.1%, respectively (P P P 
> 
> CONCLUSIONS:
> 
> Oral misoprostol is as effective as intravenous oxytocin in reducing 
> loss at
> delivery but is associated with an increased need for additional 
> oxytocic
> drugs. The adverse effects of shivering and fever were only present with
> misoprostol but were not clinically troublesome.Accession Number:
> 00006250-200504001-00088
> 
> 
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