Cytotec is a small pill inserted into the birth canal and placed against the cervix, used to ripen the cervix and/or induce labor. The pill is usually broken in fourths, and one fourth is administered at a time. THE BENEFITS ~ Cervical ripening agent ~ Able to induce or augment labor ~ Can stop postpartum hemorrhage ~ Allows person to go home after administrating the medication ~ Allows person to use the hot tub or shower ~ Does not require an IV ~ Quick labor THE PROBLEMS From the package insert located at: http://www.pfizer.com/download/uspi_cytotec.pdf ~ Possible uterine rupture ~ Amniotic fluid embolism (Amniotic fluid gets into the blood stream) ~ Pelvic pain ~ Retained placenta (Placenta will not come out) ~ Severe vaginal bleeding ~ Shock ~ Fetal distress ~ Maternal and/or infant death ~ Long-term fetal effects unknown ~ Medication not evenly distributed throughout pill, possibility of getting all or none of medication in a divided portion of the pill. ALTERNATIVES ~ Avoid unnecessary induction ~ Avoid epidural anesthesia ~ Ask care provider if it is absolutely necessary. ~ Ask care provider if there are any alternatives. |
| CYTOTEC (MISOPROSTOL) |