PREGNANCY-BIRTH Messages for February, 1999: Re: Cytotec vs. Cervidil

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Re: Cytotec vs. Cervidil

From: obtech (anonymous@obgyn.net)
Fri, 12 Feb 1999 09:39:18 -0600 (CST)

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In reply to: Christopher: "Re: Cytotec vs. Cervidil"
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This is none of my beeswax - I'm just an OB scrub tech, but Cytotek scares me, based on what I've seen it do. Perhaps the issue is the management of Cytotek rather than the agent itself, but I've seen patients labor and deliver precipitously, causing undue stress and pain on the patient. Situations have arisen when there was no time for an epidural, though the patients requested (begged for) one. One woman, a gravida III, barely made it to our unit from the ER before delivering (Cytotek was administered in the doctor's office that day). One of our obstetricians, a female, refuses to use it. Cytotek is cheap and convenient? Maybe so, but if I were a patient I'd prefer decisions about my care be made in the interest of my comfort and safety, not what's cheap and convenient.

Thu, 11 Feb 1999, Christopher and Karen wrote: >
>>>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).
>>
>Karen

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Previous message: Suzanne: "Re: Intense leg cramps while sleeping"
In reply to: Christopher: "Re: Cytotec vs. Cervidil"
Next in thread: William D. McIntosh, MD: "Re: Cytotec vs. Cervidil"

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