cytotec

[mark_LD_RN]

one more question for tonight. do nurses at your facility place cytotec for inductions when ordered lady partslly? we do and a few of the nurses are refusing to do it.

but to me that is crazy since they are willing to give it PO. to me I don't see much more risk?

also do you do the BISHOPS score before giving each PO does as you would for the lady partsl dose. I do , and think it should be. but we are having some debate here also. thanks

[SmilingBluEyes]

Karo, yes it generally is a DO NOT TOUCH drug for women of childbearing age.......in that it causes uterine contractions as a side-effect (cytotec is actually a drug for GI mucosal protection/ulcer tx). So if a woman is of childbearing age and unsure of pregnancy status or trying to get pg, she should NOT use this med. Of late, however, doctors have been using it to induce labor in women who either have experienced fetal demise or who are term or post-term and they wish to bring on labor. Its use for cervical ripening and labor induction on women with living fetuses has been called into question lately......very controversial. For all the reasons you see above, that is why. The controversy is far from over......and I predict many more doctors and hospitals refraining from cytotec use except in the cervical ripening of women experiencing intrauterine fetal demise. Just my thoughts...

[at your cervix]

Just my opinion, but it seems to me that with all of the controversy and warnings that if you do use cytotec to induce at full term and have problems-you have no defense! SCARY!

[just1rn]

Cytotec is solely the responsibility and liability of the MD's at my facility. No one likes it because of it unpredictability except the doctors. And never do they document a bishop's score.