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Cytotec for PP hemmorhage - Page 2  

post #21 of 24
Thread Starter 
I appreciate your concern. I have been a midwife for 23 years, doing homebirths. Before that I was an ICN nurse. I am also a FNP with extensive knowledge of medications and their side effects, licensed to prescribe medication, extensive training, etc. For the last several years I have only done homebirths and family practice and have not worked in the hospital setting. That is why I asked if any other midwives had experience with this medication.
I serve a rural area. I do my best to empower women through birth and keep them safe. I go out on a limb and attend births for women who want to birth at home - sometimes up to an hour from any medical facility. I would be devastated if I had a maternal death due to pp hemorrhage.
Most of my clients are well educated but are depending on me to guide them. I tell them all about the possibility of using Pitocin if they bleed too much - and maybe I will tell them about Cytotec too - if I decide it would be of benefit to include in my bag for those rare and scary occasions.
Again - I appreciate your openness and willingness to admit that your own birth could have been different. I think that those of us who did not experience the "perfect birth" go on to help other women achieve what we did not.

Carla
post #22 of 24
We have no protocol for it where I work, but have seen everything from 200 mcg to 800 mcg. 600-800 rectal seems to be standard for most ob's I work with.
post #23 of 24
Thread Starter 
Quote:
Originally Posted by mom2seven View Post
We have no protocol for it where I work, but have seen everything from 200 mcg to 800 mcg. 600-800 rectal seems to be standard for most ob's I work with.
What is your experience with regards to...

1. How well it works....

2. The side effects...and particularly the amount of cramping it causes?

Thanks in advance....

Carla
post #24 of 24
Quote:
Originally Posted by mendomidwife View Post
What is your experience with regards to...

1. How well it works....

2. The side effects...and particularly the amount of cramping it causes?

Thanks in advance....

Carla
How well it works - very well. Hard to say how much cramping it causes b/c I work with a population with a 98-99% epidural rate (don't shoot me, I'm the RN here). No one is complaining by the time I wheel them to post-partum. How they feel later, I don't know.
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