Cytotec and Cervidil? any midwifes, or medical staff with info?

posted 3 years ago in Pregnancy
Post # 3
Member
29 posts
Newbee
  • Wedding: November 2013

I was just induced with Cytotec this past weekend so I had to share! I had been given pitocin, but was just not getting any results. I was induced at 37 weeks due to my water breaking. After being on pitocin for 27 hours and being 48 ours out from when my water broke, my midwife decided to try to cytotec. I actually have an overactive uterus and one of the reasons that pitcoin had been ineffective was because I was having contractions on top of eachother and they couldn’t increase it to a workavble level. I took the cytotec and within 2 hours I was having fairly regular painful contractions. My midwives then restarted pitocin and 12 hours later, our baby was born. I didn’t know much about cytotec before I was given it, but completely freaked myself out when I decided to google it after I took it (stupid me). I am really happy with the results though. It didn’t cause any hyperstimulation at all, even with my history of it, and I had a really easy delivery. I haven’t read the research so I can’t say if I would knowingly do it again, but in my case it worked out and allowed me a delivery that I wanted! I also should mention that I used oral cytotec. Again, the risks really did scare me, but I did happen to have a completely safe and good experience with it! Good luck!!

Post # 6
Member
338 posts
Helper bee
  • Wedding: June 2010

I work at a large teaching hospital and we use cytotec regularly. It is technically an off label use of the medication. The package even says Not for Pregnant women.. probably because it causes labor. My experience is that some people respond really well to it and others don’t. Different hospitals are going to have different policies as to how many doses can be placed and how frequently. If you are having X amount of contractions in X time frame we can’t place another dose per policy even if your cervix isn’t changing. We use 25 mcg q 4 hours for a max of 5 doses. The downside to cytotec compared to cervadil is that cytotec is a small pill we place next to your cevix and it dissolves.. so it can’t be removed. Cervadil can be placed and then removed if there is an issue. Overall I wouldn’t be scared of cytotec, but I would wonder what their exact policies are regarding dosage.. how often they place it and what their orders say regarding placing a subsequent dose.

Post # 7
Member
416 posts
Helper bee
  • Wedding: April 2011

Cytotec is found to be as effective as cervidil, although I think cervidil often doesn’t seem to work as well.  People feel safer with cervidil, because it can be removed as PP have mentioned, but the medication still made it into your tissues, so I think it’s a little bit of false comfort.  Also, I’ve heard of unpleasant effects of cervidil, in that it can cause chafing and dryness, which can be unpleasant.  Plus it’s way more expensive (~$300, versus ~$0.20 for each dose of cytotec).  For those reasons, a lot of people prefer to use Cytotec, but I’m sure your provider will have a good reason for whatever they choose, so I would just ask for the reasoning behind it to understand, and then probably trust their recommendations.

Post # 8
Member
416 posts
Helper bee
  • Wedding: April 2011

Also, if you’re 34 weeks and your cervix is closed and thick, you may go through several different induction agents before things get going.  I’ve heard of people getting multiple doses of Cytotec, followed by a cervidil, followed by a foley bulb, etc. 

Post # 10
Member
38 posts
Newbee
  • Wedding: September 2013

They both work. Cytotecworks better IMO. Some institutions just have different rules. In labor and delivery there are lawsuits against everything. I used cytotec with excellent results in my previous hospital but cervadil in my current practice. They are both safe when used in the correct circumstances. I always say if you are serious about getting a baby use cytotec , cervadil takes too long and can have just as many bad effects. 

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