Cytotec for PPH

[FERTMYRTOBRN]

just wondering if other facilities are using cytotec for pph. we have one of the new docs in our facility that routinely orders 400-600mcg's of cytotec after all of his sections, and will order it for his nsvd's that are bleeding a little bit more than we like. he orders it q 4 hours x 24 then it is dc'd. it actually works quite well and i have even gone on to suggest it to other docs when their pt's flow is more than i like! thought i would share this info and see if other's have expereince with it. personally, i hate the drug for induction, but all our doc's use it!!

[SmilingBluEyes]

Just like pitocin, cytotec is ENTIRELY a different drug when used postpartum versus for cervical ripening (which I hate due to its unpreditibility). Where I work, we have used 1000 mcg rectally for PPH. Works great and never has needed repeating.

Like I said in another thread, it beats methergine and hemabate (which have to be in the fridge and have nasty side effects). I think it works GREAT.

[beepers40]

We, too, use 1000 mc cytotec PR for PPH. First line is pit, second line is usually methergine for vag births, but if it's a section we often go to cytotec, either in the OR (climbing under a drape to place it--oooh, fun!) or in the PACU. And yes, it usually works really well, without the diarrhea or elevated BPs.

[L&D_RN_OH]

I don't believe we've ever used it post delivery. First line is Pitocin, followed by Methergine or Hemabate if needed.

[Dayray, RN]

works great and like others said it doesn't have the bad side effects other drugs can. I've heard it is just as effective orally but have never seen it ordered that way.