Originally posted by bbnurse:
Are any of you who use cytotec aware that the manufacturer has sent letters to depts and to physicians telling them that it should not be used for labor induction, nor in pregnant women at all? Ask your pharmacist and your director...they got the same one..I'm sure. It clearly states that it should NOT be given intravaginally to induce labor. BIG RISK managment issue.
I'd not be the one administering it
Terbutaline is **NOT** FDA approved in pregnant women either...........
I use it daily on the job! The real reason Cytotec is NOT FDA approved is the
almighty $$$ (same reason why terb/brethine isn't) It would cost too much to go back & do all the studies to get approval...then, the low cost of Cytotec (one of it's best qualities) would jump as high as the costs are for Prepidil & Cervidil!!!
for legalities-sake, have policies in place, MD/Midwife placement only on viable pregnancies, use common sense, be aware of the current studies "out there" and chart lots! The community standard of care is important to know!
Who knows?!? maybe someone will be suing us for a c/s for a failed induction because we DIDN'T use cytotec, when it was the S.O.C. in the community!
hang in there!