Are they still using Cytotec?

Our consents simply state "delivery and care of baby". However they are briefed on side effects, depends on the doc or nurse. I always explain the possible adverse reactions to Cytotec, Cervidil, and Pitocin. I'm unsure what others nurses do. I feel it is my responsibility to explain Cytotec the same as I would Nubain, or Vistaril, or Brethine......

Unfortunately, some patients don't really care.

Our cervidil pts have to be monitored continuously for the entire 12 hours. Are there places that only do a couple of hours? Would love some references so maybe I can change some practices...

I was induced with cytotec with my daughter. I had to sign a waiver that stated it was being used off label and was not approved by the FDA for that use. It also outlined the risks and gave statistics. Interestingly, I was familiar with it because the same one was passed around in my Bradley class so I had read it before and done some research. I would say they definitely attempted to make me aware of the risks, although who knows if most people really read those things.

I am an L & D nurse and we use cytotec all the time for cervical ripening. We use PO and PV routes. There is no waiver for patients to sign, and the doctors use it without giving the patients full, informed consent about the fact that it is not FDA approved and that it can cause uterine rupture! There are plenty of other drugs/methods we can use with much less risk. I for one will never let them use it on me whenever I have a baby!