Hello,

I am 19 weeks pregnant and trying to get all my ducks in a row--asking questions and writing a birth plan. I am using a midwife group that I so far feel really comfortable with to deliver in a large university hospital (which I am not so comfortable with).

Anyway, I asked what medication of choice they use for induction--if that were to become an issue for me. The midwife said they prefer to use Misoprostol 25mg. She seemed to indicate that it does better without the negatives of oxytocin induction--was more gentle. However, what I had read was that cytotec was very bad--I've even seen the medication fine print that lists many negative effects (some deadly) and the specific manufacturer warning NOT to use it to induce labor. Admittedly, that was for the 100mg dose.

So my question is, in my preparation for birth, what should be the best choice for induction if it is necessary. I want to have a plan in place before it ever becomes a possibility. In your reading, is misoprostol only a problem for induced VBACs? Or is it only a problem in 100mg doses? Is there new information out that I haven't found that shows that it is ok?

Thank you for your time.

Melanie