Hi All,
I did a little research recently concerning Misoprostil and discovered that
the WHO has also been researching Misiprostil for the prevention of PPH.
Like many of you have already mentiioned it is not recomended for use in
obstetrics although it is widely used and it is easier to store as it doesnt
require refridgeration and easier to administer as it is oral or PR not IMI.
However the recent WHO Expert Commitee on the Selection and Use of Essential
Medicines found that Syntocicnon is actually more effective than Misoprostil
and due to a lack of evidence they decided not to include it in "The
Interagency List of Essential Medicines for Reproductive Health 2006". Both
these documents are worth reading.
So I have decided that I will continue to use Syntocinon 10 IU/mL, if
required, for the management / prevention of PPH when I attend a homebirth.
Leanne.
Leanne Wynne
Midwife in charge of "Women's Business"
Mildura Aboriginal Health Service Mob 0418 371862
From: "LJG" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: <ozmidwifery@acegraphics.com.au>
Subject: FW: [ozmidwifery] getting synto etc
Date: Wed, 15 Nov 2006 19:09:57 +1000
We have it in our cupboard and regularly use it for pph (used pr) and it
works well for this, I imagine this it what you would be having it on hand
for Philippa? Because it's a tablet it doesn't need refrigeration. Most of
our Tops are now done with it too. It is dispensed by our
pharmacy....although kept in the dd cupboard and counted in the same
manner.
If obs in the public system are using it freely then I can't see why a GP
would object...or maybe a hospital doctor would write it up for you?
-
>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
>
> -
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