Lisa Barrett wrote:
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
No wonder feel that birth is an invasive
event! MM
apparently it is quite difficult as you have to make a loop and put
the cervidil around the cervix.
Thanks Lisa... do the midwives use it or is it
inserted by MO?? And which state are you in?
Cheers
Alesa
- Original Message -
From:
Lisa Barrett
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, November 02, 2005 4:58
PM
Subject: Re: [ozmidwifery
Which is interesting as compared with two dose of
Prostin it is actually cheaper however as described in a different post it
is a challenge to insert and we have an OB who is trying to use Midwives to
induce labour using this method. We feel (particularly as 70% of our
inductions are
Cervidal is used where I work in W.A. Only for primips due to the
cost factor. At this stage it is only inserted by the Drs.
Naomi
Which
is interesting as compared with two dose of Prostin it is actually
cheaper however as described in a different post it is a challenge to
insert and we
Naomi Wilkin wrote:
Cervidal is used where I work in W.A. Only for primips due to the
cost factor. At this stage it is only inserted by the Drs.
Naomi
Same here - a cost analysis was done and they found that multips usually
only need on dose of prostin, whereas primips usually need 2.
To: ozmidwifery@acegraphics.com.au
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 -
From
Message -
From:
Alesa
Koziol
To: ozmidwifery@acegraphics.com.au
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
@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Alesa Koziol
Sent: Wednesday, November 02, 2005
1:18 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery]
Re:cervidil
Lisa
We (Midwives) currently use prostin but there is a move
afoot for us to commence
In case you haven't seen it,
Alesa, I must tell you what Henci Goer says about Cerv.
Pros: Somewhat reduces the
caesarean rate compared with straight oxytocin inductions with an unripe cervix.
Cervidil can be removed if it causes problems.
Cons: Can cause uterine HSS
and foetal distress.
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
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
- Original Message -
From: Lisa Barrett
To: ozmidwifery@acegraphics.com.au
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
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
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