Hi Alesa,
 
We are using cervidil at Mackay Base (Queensland).  I personally haven't had much experience with it as I mostly work at the birth centre, but the feed back from the other midwives that I've heard so far has been positive.  They feel that it is less invasive than Prostins, as it can be put in and left for 12-18hrs (our prostin regimen is every six hours for 3 doses) so less VE's for the woman.  They also think it seems to work quite well with primips, getting them into labour more successfully than prostins.  I'm not sure about the hyperstimulation.  Some of the midwives are putting it in here, but apparently it is quite difficult as you have to make a loop and put the cervidil around the cervix.
 
Cheers
Michelle

Alesa Koziol <[EMAIL PROTECTED]> 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
 
----- Original Message -----
Sent: Wednesday, November 02, 2005 7:51 PM
Subject: Re: [ozmidwifery] Re:cervidil

Midwives insert the cervidil there are no MO's.  Ashford is the biggest private hospital in South Australia. Induction rate is also about 70% maybe more, for all the wrong reasons. 
What sort of results do you get with it?
Lisa
----- Original Message -----
Sent: Wednesday, November 02, 2005 6:47 PM
Subject: Re: [ozmidwifery] Re:cervidil

Thanks Lisa... do the midwives use it or is it inserted by MO?? And which state are you in?
Cheers
Alesa
----- Original Message -----
Sent: Wednesday, November 02, 2005 4:58 PM
Subject: Re: [ozmidwifery] Re:cervidil

They use Cervidil at Ashford, It has quite an aggressive action provided it's inserted correctly.  It's not easy to put in however being extremely awkward.  It's almost impossible to place it in the posterior fornix.
One Ob described it to a patient as a tampon.  I found this very amusing as it's Barbie sized!!!!!
Lisa
----- Original Message -----
Sent: Wednesday, November 02, 2005 3:58 PM
Subject: [ozmidwifery] Re:cervidil

I only know of a couple of private OB's who use it at one of our local private hospitals. Most choose not to use it because of the cost.
Hugs,Larissa.
My next question for the list is to ask of any sites where Midwives are using cervidil.
Cheers
Alesa
 


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