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Re: Cytotec, cervical ripening From: Efrain Ramirez (eramirez@icepr.com) Sat Apr 8 21:33:53 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: D. Ashley Hill, MD: "Re: Cytotec, cervical ripening" Previous message: Efrain Ramirez: "Re: Classical C/S - Dr Siegel" In reply to: Betsy Hyde: "Re: Cytotec, cervical ripening" Next in thread: D. Ashley Hill, MD: "Re: Cytotec, cervical ripening" Reply: D. Ashley Hill, MD: "Re: Cytotec, cervical ripening" Well- -it has been my experience that Cytotec is really sticky -- it doesn't withers away so easily --I would send home a patient if there were no meaningful contractions and no cervical changes. At Fri, 7 Apr 2000, Betsy Hyde wrote: > >>When you say "only in-house cytotec," do you mean that all patients who >>receive cytotec are admitted and do not go home without being delivered? > >yes, that is the policy around here. > >of course, if the cytotec fails, the contractions stop and the fetus seems >stable, then she may go home and return later on for another shot at >induction. > >>We only administer cytotec in-house, but if they don't show a response >>and are patients on whom we can go slowly, it is not unusual to observe >>them for 1-2 doses over 6-8 hours and discharge to return the next day >>for a serial induction, with admission and amniotomy/pitocin when the >>cervix is favorable. > >there is a rare patient who does not respond to cytotec. IMO, most of the >time they go into labor and deliver w/i 12 hours....sometimes much sooner >than that. Believe me, we have had *any number* of very, very unhappy >campers after 25 mcg of cytotec. > >-- >Betsy Hyde CNM >Branford, CT > -- "The things you learn after you know everything are the important ones" Next message: D. Ashley Hill, MD: "Re: Cytotec, cervical ripening" Previous message: Efrain Ramirez: "Re: Classical C/S - Dr Siegel" In reply to: Betsy Hyde: "Re: Cytotec, cervical ripening" Next in thread: D. Ashley Hill, MD: "Re: Cytotec, cervical ripening" Reply: D. Ashley Hill, MD: "Re: Cytotec, cervical ripening"

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