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Are they still using Cytotec?



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No. 40
from DEB52
Old Oct 15, 2007, 01:42 AM

Default Re: Are they still using Cytotec?
We use it half the time and cervidil the other half. Reguardless of which drug they get, they are on the monitor the entire time. They normally can eat after an hour. These patients are also started on our high risk antepartum unit and then transfered to L/D for their pitocin induction.
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No. 41
from tvccrn
Old Oct 18, 2007, 07:46 AM

Default Re: Are they still using Cytotec?
This past May I had an induction and the meds that we discussed before hand were the cervidil (on the rope?) and pitocin. I am considered high-risk due to age and diabetes so I was seeing a perinatologist for my prenatal care. the plan was come in on Sunday night for the cervidil and start pit the next morning. She wasn't on call when I went in to start but I knew that before hand. Their call is from 5PM to 5PM. She figured that she would come on at 5 and we would have the baby soon after.

My son, apparently had other ideas and was comfy right were he was. After inserting the cervidil on Sunday night I spent a comfortable night with the occassional twinge. The next morning the on call doctor wasn't happy with my progress so she came in and told me they were going to use another med that was a pill inserted vaginally. No other explanation. After that we would wait for 4 hours before starting the pit. They did tell me that I could get up and shower because after the pill was put in I would be in bed until I delivered.

Now, I am at fault for not asking, but nothing was volunteered by ANYONE. Knowing now what I didn't know then, I would certainly ask for time to walk and all before even considering it.
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No. 42
from mitchsmom
Old Oct 18, 2007, 10:29 AM

Default Re: Are they still using Cytotec?
We use cytotec all the time & never cervidil - I was told because of the cost.
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No. 43
from CEG
Old Oct 18, 2007, 03:46 PM

Default Re: Are they still using Cytotec?
Originally Posted by tvccrn View Post
They did tell me that I could get up and shower because after the pill was put in I would be in bed until I delivered.
.
I am curious about that. I was induced with cytotec and after being monitored for an hour I was up, walking, in the tub, etc. Interesting the different practices.
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No. 44
from landnurse
Old Oct 19, 2007, 09:54 AM

Default Re: Are they still using Cytotec?
At my hospital in La., we use 25mcg vag q 4 hrs. x 3 doses. We cycle BP q 10 mins x 3, q 30 mins x 3 then q hr. until the next dose. After the 3rd dose, we wait 4 hrs, then start pit. I think we can do up to 6 doses if needed.


Originally Posted by FrumDoula View Post
Cytotec scares the cr*p out of me. It's much less manageable, it seems, than some of the other cervical ripening agents, and therefore less safe. I've heard that women are often not told about its possible side effects, and the fact that it's being used off label.

On another board that I frequent, someone said their homebirth midwife (CNM) wanted to use to help induce labor on a postdates woman. I was absolutely SHOCKED. I thought that with Cytotec, there was specific monitoring protocol, like with Pit or any other chemical intervention, to make sure you're not hyperstiming a woman or causing a rupture. And ruptures have happened frequently enough with Cytotec that I would be wary to use it without some serious monitoring.

Can the L&D RN's here tell me what their monitoring protocol is for Cytotec?

Alison
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