PP hemorrhage!

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by ceecel.dee
Aug 6, '02   Views: 2,151   Comments: 8

  1. Had a bad situation rather recently....C-section after 30 hour labor, 2 1/2 pushing, then uterine atony. After much Pitocin, Methergine, and Hemabate (and many blood products- thank you donors!) the doc orders Cytotec, 1000mcg rectally. Either it all finally caught up with her....or this did the trick! We have not heard of this before, but we can be behind the times occasionally:imbar! Anyone else do this?
  2. Visit ceecel.dee profile page

    About ceecel.dee

    Joined: Apr '02; Posts: 968; Likes: 41
    Nurse Educator: love those students!
    Specialty: Med/Surg,ER,L&D,ICU,OR,nrs. educator

    8 Comments

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  3. by canoehead
    Aug 7, '02
    Joined: Oct '00; Posts: 8,729; Likes: 8,412
    Never, but sounds like a great idea.
  4. by jama
    Aug 7, '02
    Joined: Jun '00; Posts: 27
    we have used cytotec rectally but i dont reme,ber the dosage i was thinking it was 100mcg.
  5. by L&D.RN
    Aug 7, '02
    Occupation: L&D RN Joined: Dec '01; Posts: 79
    We use it at our hospital for PP hemorhages...800mcg rectally, and it's like shutting off a faucet!
  6. by CATHYW
    Aug 7, '02
    Occupation: RN Joined: Nov '01; Posts: 1,418; Likes: 25
    I LOVE this site! The things you can learn!
  7. by mother/babyRN
    Aug 8, '02
    Occupation: R.N. Specialty: 27 year(s) of experience in cardiac, diabetes, OB/GYN ; Joined: Feb '02; Posts: 1,947; Likes: 418
    We do it too....I think the mind thing makes us forget that, since we use cytotec to induce labor, it couldn't possibly be used to stop a problem...
  8. by sbic56
    Aug 8, '02
    Occupation: Nurse Consultant Specialty: 24 year(s) of experience in Obstetrics, M/S, Psych ; Joined: Jun '02; Posts: 3,105; Likes: 49
    Cool. Never heard of that one before, but gonna bring that little gem of wisdom to work with me and see what the OBs there think. Thanks,ceecel.dee!!
  9. by OB4ME
    Aug 8, '02
    Occupation: Entrepreneur, L&D RN Joined: Apr '00; Posts: 70; Likes: 3
    We usually give 200mcg rectally for PP hemorrhage, and that works!
  10. by SmilingBluEyes
    Aug 12, '02
    Joined: Apr '02; Posts: 38,756; Likes: 16,288
    rectal cytotec used at our hospital and with pretty great success. hemabate at the other place i work as well as methergine. expensive options; cytotec is cheap and fast. and the DOCTOR usually does it where I am; works for me (lol).

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