My CPMs employ a protocol for PPH that involves one shot of Pitocin, possibly a follow-up shot, and then methargine. If none of those are doing the trick, they administer Cytocec rectally. I understand that this is an off-label use for the drug, so I asked them if they had any safety data on this particular use.
From what they provided me and the limited amount I found online, it looks like there is a lot to support how effective it is, but not much in the way of safety. Since I don't have access to most of the medical journal articles, do you know of any studies attesting to the safety of Cytotec in the third stage of labor? (I know that it has a horrendous record for induction and augmentation, but that could be a different ball of wax!)
The bottom line is that I'm trying to decide whether or not to consent to them using it one me. (For the record, I'm not under any pressure to consent). Thanks for sharing your opinion on this!