Re: [ozmidwifery] Re:cervidil

[Lisa Barrett]

hi Jo,   the reason's that cervidil has been promoted as better than prostin is as you've said: it releases prostin more slowly and it can be more easily removed.  Reality seems to be, ( and the cervidil company figures agrees with this) if correctly inserted it can cause hyperstimulation after a few hours as it has a constant release.  Prostin gel however works in a curve so peaks after two to three hours then wears off.  It isn't that difficult to get most prostin gel out if however cervidil is removed once the hyperstimulation is happening the removal doesn't seem to have much effect.    Lisa ----- Original Message ----- From: JoFromOz To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 03, 2005 1:06 PM Subject: Re: [ozmidwifery] Re:cervidil Alesa Koziol wrote: Lisa We (Midwives) currently use prostin but there is a move afoot for us to commence using cervidil. For lots of reasons, we are not keen to go down this track and I am seeking info on what is currently in use around oz so am fully armed in time for our next meeting.........and I must thank everyone who has answered this thread so far you have been most helpful. More info always gratefully accepted:) Cheers Alesa   I thought the reason *to* use cervidil was because it releases the prostaglandin slower, and more uniform, and that it can be removed immediately if hyperstimulation occurs.  Prostin gel is 1 - 2 mg right there and then, and is rather a lot harder (and undignified for the woman) to remove if something goes wrong. Jo