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Re: Cytotec vs. Cervidil

From: Christopher (anonymous@obgyn.net)
Thu, 11 Feb 1999 14:54:22 -0500

>>Neither you nor your midwife may like my answer. Cervidil is a good
>>system, but Cytotec is better, cheaper, faster, and safer (the last is my
>>own opinion, though I think it is supportable in the literature).
>
>I am not convinced that Cytotec is better than Cervidil. From what I
>have been reading, the dosage of Cytotec that is applied to the cervix
>is not as controllable as Cervidil, and may cause frequent, tetanic
>contractions, which I believe is a contraindication, especially in a
>woman with a uterine scar (though ruptures can occur in unscarred uteri
>as well).
>

I would really appreciate any citations either of you two could provide for me. I have done a cursory search and have been able to turn up studies showing that induction is safe for VBAC's(which isn't my concern-I've already done that twice) but no comparison of the different ripening agents. The final decision will have to be made weeks from now and hopefully not at all but this is just plain interesting.:)

Karen



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