Question about using cervidil

seanymph · Oct 20, 2004 10:29 PM

I know it has probably been asked, but I will ask anyway. I haven't used cervidil too much, but what is the protocol for using the cervidil then starting pitocin? I thought you could leave the cervidil in for about to 12hrs (it can be repeated, right?), but before you can start the pitocin induction/augumentation the cervidil had to be out for so many hours ( 1hr?)? I started a new assignment last night and one of the nurses was telling me that her patient had the cervidil in and had pitocin going and was a multip. I thought this was a no-no.
Also I thought cervidil and cytotec couldn't be placed with ROM.
I just need some clarification since I am traveling and different facilities and physicians are telling me different things.
thank you.

bam_bam · Oct 21, 2004, 05:29 AM

We usually start Pitocin an hour after Cervidil is out. Never run Pit and have Cervidil in together! Cervidil is in for 12 hours and we can repeat if necessary. I prefer this if there isn't much cervical change instead of starting Pit. I have used Cervidil with ROM at a few facilities.

Originally Posted by seanymph

I know it has probably been asked, but I will ask anyway. I haven't used cervidil too much, but what is the protocol for using the cervidil then starting pitocin? I thought you could leave the cervidil in for about to 12hrs (it can be repeated, right?), but before you can start the pitocin induction/augumentation the cervidil had to be out for so many hours ( 1hr?)? I started a new assignment last night and one of the nurses was telling me that her patient had the cervidil in and had pitocin going and was a multip. I thought this was a no-no.
Also I thought cervidil and cytotec couldn't be placed with ROM.
I just need some clarification since I am traveling and different facilities and physicians are telling me different things.
thank you.

*SmilingBluEyes* · Oct 21, 2004, 08:03 AM

Sounds like some training is needed ASAP. Running pitocin drips, while there is active cervical ripening going, is a no-no! You risk serious uterine hyperstimulation as well as fetal distress, when doing this---! An experienced nurse is doing this?

seanymph · Oct 21, 2004, 10:05 PM

Thanks for the info on the cervidil, I thought it was a big no-no, but since I had such limited experience with it I wasn't 100% sure, most of my experience is with Cytotec, which I hate. I have been on this assignment only a week so I am not sure how much experience this nurse has, but I have a really bad feeling about the whole unit in general and pray every night I go in that I get out with my license intact. It is going to be a loooonnnggg assignment.

*SmilingBluEyes* · Oct 22, 2004, 01:31 PM

Be sure and check their policies/procedures manuals whenever encountering anything new. That is your best bet. If this is not addressed there, ask the manager about this!

Question about using cervidil

Question about using cervidil

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