Medroxyprogesterone & Threatened Abortion

step1

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10+ Year Member
Feb 7, 2007
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  1. Resident [Any Field]
I was called to consult a patient with threatened abortion. The EP told me the patient was bleeding and that the os seemed to be closed. But the patient and father are hysterical.

I get there and the resident was already there, writing an order for a fairly high dose of medroxyprogesterone. He wouldn't let me see the patient.
I asked why he's writing this order and says "that baby is going to abort anyways, it's therapeutic".

The Emergency Doc and I shook our heads. The EP said he saw a viable fetus on U/S.

Is there any real 'therapuetic indication' of medroxyprogesterone in threatened abortion??? I thought it would turn a higher risk abortion into an absolute abortion?

Thoughts?
 
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