MCH Frequently Asked Questions
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Links to M FAQs
- Magnesium Reversal in Hemorrhage
- Mammacare
- Mammography: reconsider it's use? [2/01]
- Maternal drug testing. [10/01]
- Maternal serum multiple markers: triple testing in the second trimester. Continuing education module in this site's Perinatology Corner section.
- Medical student rotations
- Membrane stripping, risks.
- post-Menopausal osteoporosis.
- Menometrorrhagia: see Family Planning / progesterone-containing I.U.D.s
- Menopausal symptoms
- Migraine in pregnancy
- Minor's Rights to Reproductive Services : state-by-state info
- Minor's Rights to Reproductive Services
- Misoprostol: ACOG Statement [12/01]
- Misoprostol, adverse effects
- Misoprostol for cervical priming in non-pregnant patients
- Misoprostol in Asthma patients
- Misoprostol cervical ripening, cost effectiveness
- Misoprostol for IUD insertion
- Misoprostol for spontaneous abortion
- Morning-after pill: see emergency contraception.
- Multiple gestation: practical aspects of managing multiple pregnancy. [4/02]
M FAQs
Q. Which fetal heart rate and contraction patterns are worrisome with misoprostol use?
A. The hyperstimulation syndrome is worrisome and contraindicates further use. See details (WORD 52k)
Q. My patient is not doing too well with her hormone replacement therapy. Options?
A. There are many options: pharmacologic, behavioral, dietary, and cultural. (WORD 119k)
Q. How effective a screening test is the clinical breast exam?
A. Clinical breast exam has a limited role, but mammography is the test of choice. [WORD 89k]
Q. What is the CDC's response to the Cochrane review about reconsidering use of mammography? [2/02]
A. See this downloadable file: MS Word (.DOC) 40K | Acrobat Reader (PDF) 20K
Q. Is membrane stripping associated with abruption placenta?
A. No, in addition, there was no increased risk of maternal or neonatal infection, but minor maternal discomforts were common. (WORD 31k)
Q. What do you use to treat pregnant women with migraines?
A. First of all make sure these are migraine headaches, then treat appropriately. See below. (WORD 76k)
Q. What is the cost effectiveness for the use of cytotec or any other induction agents?
A. Misoprostol is more cost-effective than the comparable commercial agents. (WORD 35k)
Q. Can misoprostol be used for cervical ripening?
A. Misoprostol is appropriate to use for cervical ripening. The exact dosing should be individualized. ACOG Supports Use of Misoprostol for Labor Induction. Non-A.C.O.G. members | A.C.O.G. members.
Q. Can we use misoprostol for labor induction in asthma patients? (Medscape)
A. Yes, but PG-F2alpha analogs (Hemabate) should be avoided if possible or used with caution.
Q. What are some of the practical aspects of managing multiple pregnancy? [4/02]
A. Mary E. D'Alton, from Contemporary OB/GYN presents some of the practical aspects of managing multiple pregnancy.
Q. Can we use medical therapy in the setting of spontaneous abortion (SAB)?
A. Yes, you can use misoprostol in either complete or incomplete SAB (WORD 43k)
Q. Ever had problems with a stenotic cervix? e. g., for an IUD placement or EmBx?
A. Cervical priming with misoprostol can be helpful in non-pregnant women. See Details (WORD 142k)
Q. Does misoprostol aid prior to IUD insertion?
A. Yes, misoprostol appears to soften the cervix and decrease complications. (WORD 129k)
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