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CytotecFrom: Latisha Lochabay, CNM, MSN (lochabay@itecnmi.com)Mon Mar 15 05:27:09 1999
We've recently begun to use Cytotec for cervical ripening/ induction of labor in our population. I'm trying to put together a guideline for its use. I've done some reading (green journal, 11/98, and others) but would like to pose a few questions to those of you who routinely use Cytotec. What selection criteria do you use? Primip? Multip? VBAC? Bishop score? Do you require a reactive strip prior to the Cytotec? How long do you require the woman/fetus to be monitored before sending home? What dosage (and route) are you using for ripening/induction and for fetal demise? Do you use terbutaline for hyperstim contractions? If so, how often? Has this been effective? Thanks in advance for any assistance you may be able to offer.
-- Latisha Lochabay CNM, MSN Commonwealth Health Center Saipan, CNMI
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