kday I agree on the scalp pH. I work in small hospital, we don't have the equipment, but frankly I've only had one or two times that I'd be willing to wait for the results. Usually a good scalp stim will declare fetal tolerance either way, and we're off to the races.
I have never heard of cytotec for pph, do you have an article?
Seems like it would be slower acting than IV pit, and expensive.
I'd like to hear from anyone using po misoprostol rather than vaginal. We do vaginal and the docs must come to insert it B/C of an episode where a doc was yelling at a nurse during a hyperstim episode. She accused the experienced RN of putting it IN the cervix instead of under it, in front of the pt and family. (!!) A po route would be more convienent. (Unless someone decides to tell a pt to snort the med)
Is it true that you are thinking about the ER? What are you thinking?
Seems to me OB needs good nurses like you.