Discussion Starter · #1 ·
|But the stories I was hearing about Cytotec I found especially unsettling.|
|Im sorry they never informed you about the drug in question. Its scary what goes on!|
Originally Posted by cathicog
Cuz it's cheap, and the docs don't have to sit around waiting for a laboring woman. If anything goes wrong, they can jump in and be heroes(they hope) and get FAR more money for it...for this reason homebirth should be the NORM....
|By the way, use of cytotec is contraindicated with VBAC (because of the increased risk of uterine rupture) and home birth (because of the need for continuous monitoring and the increased risk in general).|
|I. Misoprostol (Cytotec) is a synthetic PGE1 analogue. It's FDA approved indication is for the prevention of stomach ulcers in patients taking nonsteroidal anti-inflammatory drugs. Because of its prostaglantin activity it is also very useful for cervical ripening and induction of labor. Misoprostol has much the same mechanism of action, benefits, complications, indications, adverse reactions and contraindications as other cervical/vaginal prostaglandin products (e.g. Prostin¨ gel, Prepidil¨ , and Cervidil¨ ). Multiple studies have been done in multiple U.S., Canadian and European centers all showing the effectiveness and safety of Misoprostol for cervical ripening and induction of labor.|
|UTERINE RUPTURE HAS BEEN REPORTED WHEN CYTOTEC WAS ADMINISTERED IN PREGNANT WOMEN TO INDUCE LABOR OR TO INDUCE ABORTION BEYOND THE EIGHTH WEEK OF PREGNANCY (see also PRECAUTIONS and LABOR AND DELIVERY)|
|Vaginal administration of Cytotec, outside of its approved indication, has been used as a cervical ripening agent for the induction of labor and for the treatment of serious postpartum hemorrhage in the presence of uterine atony. A major adverse effect of the use of Cytotec is the hyperstimulation of the uterus which may progress to uterine tetany with marked impairment of uteroplacental bloodflow, uterine rupture (requiring surgical repair, hysterectomy, and/or salpingo-oophrectomy), or amniotic fluid embolism. Pelvic pain, retained placenta, severe genital bleeding, shock, fetal brachycardia, and fetal and maternal death have been reported.|
Originally Posted by applejuice
I even have heard of midwives using it at home...on V-BAC patients.
Originally Posted by NoraB
I remember reading in Ina May's Guide to Childbirth (I think) about cytotec and amniotic fluid embolism. Super scary.