Are they still using Cytotec?

Our hospital is one of the last in our city to hold out on using cytotec. The scoop on cytotec is that when it was first tried and studied high doses were used. It came out being much more effective than cervidil and much less expensive. However this is also where you saw the adverse outcomes due to hyperstim.
When cytotec was then used in smaller doses the adverse outcomes went way down but so did effectiveness. It is no more effective than cervidil which is much easier to control (you take it out) than cytotec. All that remains is cost effectiveness (a few dollars for cytotec vs. $150 for cervidil).
However, if I were a patient or MD I would certainly think it was worth the money to use a safer drug that is specifically authorized for cervical ripening.

Ours too. Cytotec is one to two hours after placement. Cervidil is continuous.

The hospital where I work most certainly uses Cytotec, at 25 or 50mcg vaginally for labor induction at term, 200mcg vaginally for 2nd or 3rd trimester fetal demise, and 800mcg rectally for postpartum hemorrhage. Women requiring preterm induction before the 36th or 37th week are sent to another facility with a Level III NICU.

We don't use it as often as we use Prostin, 2.5mg of this in KY jelly, compounded by us in the pharmacy and kept frozen until use. They sometimes use the suppositories for fetal demise but the 200mcg Cytotec is much more common, mainly because it's MUCH less expensive.

Cervidil is not used at our facility because it has to be placed by the physician and Cytotec or Prostin can be placed by the nurse. My SIL had two Cervidil inductions in another city and had no problems related to this either time.

Terbutaline is ordered for PRN use. Not being a nurse, let alone working in L&D, I'm not sure how often it's used but we really don't send a lot up there.

Edit: Whenever we hire a new technician, they will often ask why the Cytotec bottle has a drawing of a pregnant woman with a no parking sign on it, and we're sending this to L&D. We explain why.

and what is the response?