Circulatory arrest following sulprostone administration in postpartum hemorrhage
Beerendonk, C.C.; Massuger, L.F.; Lucassen, A.M.; Lerou, J.G.; van den Berg, P.P.
Nederlands Tijdschrift Voor Geneeskunde 142(4): 195-197
1998
ISSN/ISBN: 0028-2162 PMID: 9557027 Document Number: 496930
In a woman aged 39 cardiac arrest occurred 3.5 hours after administration of 250 micrograms sulprostone directly into the uterine wall for a post-partum haemorrhage after manual removal of the placenta. A long period of resuscitation was necessary. After further evaluation the woman demonstrated specific contraindications to the administration of sulprostone. as formulated by the French authorities: age > 35 years, heavy cigarette smoking, and cardiovascular risk factors. In the Netherlands sulprostone is registered for intravenous administration only. We would strongly advise against administration directly into the uterine wall.