At our hospital, we've been told not to use any gel at all when inserting Cytotec because it can coat the pill and prevent it from dissolving. Now some of the nurses are saying this is not true and it's okay to use the water-soluble vag exam gel during insertion. I know sometimes the mother is REALLY dry and it makes it difficult. When I encounter that, I will sometimes squirt a bit of normal saline on my fingers to aid in insertion.
Just wondering what other hospitals do.