Does anyone have any experience with cytotec/misoprostol for retained placental tissue? If it is given intravaginally, who gives it? How long postpartum is it effective? Does anyone have a policy/proceedure at their hospital that they could share? We just recently can across using cytotec for retained tissue after a routine pregnancy and delivery, pt. hemorraged post partum, had a syntocin drip 20 hours p.p., two doses of hemobate, passed a large piece of placental tissue day 4 p.p. and cytotec was started intravaginally on day 5 and orally on day 6. Pt. and babe remained in hospital for over 8 days. It seemed, at the time, that a good old fashioned D&C would have saved everyone time and money, and mom may have been able to successfully breastfeed had we got that tissue out. What do you guys think?
Nov 7, '05
We have used rectal cytotec for PP hemorrhage, but if it's confirmed or suspected there are retained placental fragments, our dr's still do a D/C to remove it. I have not seen any of our docs use hemabate, methergine or cytotec to expel retained placental fragments. There are some nasty side effects that can come from extensive use of prostaglandins and oxytocins, as you know. They would have done the D/C to save the additional trouble and difficulty you describe here.
I am intrigued; is anyone else doing this as well? I am always learning something new.
Last edit by SmilingBluEyes on Nov 7, '05