Preparedness for life-threatening surgical complications of caesarean section in hospitals in southern Gauteng District Regional Central (N=5), n(%) (N=7), n(%) (N=3), n(%) Available drugs Oxytocin and misoprostol 5(100) 7(100) 3(100) Ergometrine
4 (80) 4 (57.
Co-administration of cisapride, dofetilide, ergot alkaloids such as dihydroergotamine, ergotamine, ergometrine
(ergonovine), and methylergometrine (methylergonovine); felodipine, levacetylmethadol (levomethadyl), lovastatin, methadone, oral midazolam, nisoldipine, pimozide, quinidine, simvastatin, and triazolam with ONMEL[TM] is contraindicated.
was available at 85% of health centres and dispensaries, and 70% provided manual removal of the placenta.
Active pharmacologic management of the third stage of labour: A comparison of oxytocin and ergometrine
In the study 79% of women received either oxytocin, ergometrine
or both, as is routine in the NHS.
The drugs commonly used are oxyitocin, ergometrine
However, misoprostol is now gaining favor over dinoprostone for patients who fail both oxytocin and ergometrine
340) Although ergometrine
may cause bronchospasm particularly in association with general anaesthesia, (340) this is not a problem encountered when syntometrine (syntocinon/ergometrine
) is used for postpartum haemorrhage prophylaxis.
Mrs Wildsmith was given ergometrine
- a drug routinely given to mothers to ensure the placenta comes away from the uterine wall.
Currently, the import of ergotamine, ergometrine
, pseudoephedrine, ephedrine, and lysergic acid is conditional with the recommendation from the Narcotics Division.
For data on RU 486/oral misoprostol abortion, see Thong & Baird, 1992 (4% of users: 1 woman needed emergency curettage for heavy bleeding due to incomplete abortion; 3 women were given intramuscular ergometrine
for heavy bleeding at the time of expulsion of products); Peyron, et al.
In addition, given the increased risk and danger of haemorrhage in the context of CS, addition of ergometrine
for women without contraindications, and a second dose of oxytocin after 4 hours, have been recommended.