Cytotec for IUFD

[tj9603]

Multip pt with approx 40 week IUFD (spotty PNC). Resident wants to put in 800mcg cytotec in a single dose . I've worked L&D for almost 10 years and never heard of such a thing--seems like asking for a sure uterine rupture to me. I've seen higher doses (400mcg) used in second trimester IUFD, but not full term. I went up the chain and got the order changed to Pit instead.

Am looking for a dosing guideline that comes from a reputable source (i.e.: ACOG). I've found info on misoprostol.org but am looking for further info. Any help is appreciated.

[pearlsrwisdom]

Recently did 200 po and 200 lady partslly in a 33wk pt..worked like a charm