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Representatives of Planned Parenthood and the National Abortion Federation told the Wall Street Journal that some abortionists in their organizations would be using different dosages and prescribing at later pregnancy dates than those specified in the FDA approved protocol, (96) and a National Abortion Federation "start up packet" made available to doctors specifically tells recipients that "Individual providers are not limited to the uses or regimens set forth in the FDA -approved labeling" and lists variations in dosage and protocol deviating from those set out by the FDA.

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Cytotec should not be used in cases where uterotonic drugs are generally contraindicated or where hyperstimulation of the uterus is considered inappropriate, such as cephalopelvic disproportion, grand multiparity, hypertonic or hyperactive uterine patterns, or fetal distress where delivery is not imminent, or when surgical intervention is more appropriate.

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She can do a pregnancy test or have an ultrasound.

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After another study revealed a 28-fold increase in the risk of uterine rupture among women with prior cesarean sections, ACOG issued guidelines in 1999 discouraging the use of Cytotec in such cases.

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