So frustrating...

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krazykat's picture
Joined: 08/11/07
Posts: 1143
So frustrating...

I know two people recently who I have personally warned about Cytotec inductions that went on to allow the OB to induce with Cytotec. One ended in a c/s and the other had to stop the administration of it b/c the baby was experiencing decels.

I didn't even include my personal opinion of the drug, I only included facts in the warning. And while I am very, very glad they have had healthy babes, I can't help but wonder if everything could have been avoided if they didn't induce with Cytotec.

WHY are the dangers of this drug not being disclosed?! It is insanity to me... and then even worse when people are given the information, but it's like they don't believe it. Normally I'm pretty good at keeping my mouth shut and supporting people in their decisions, but this one is very frustrating for me.

Thanks for letting me vent!

Joined: 06/05/06
Posts: 61

I hear ya, Ariel! I HATE HATE HATE that people don't care to educate themselves, and then when they DO hear things, they don't bother researching it. They just ask their OB (if they say anything at all), who may end up stretching the truth. Or they just go on pretending like everything is perfectly fine and their provider and the hospital know what they're doing and will do the best thing for them and their baby.

Oh, the ignorance of pregnant women is so frustrating to me.

Joined: 03/16/15
Posts: 53852

I know it's frustrating, but I think a lot of people really trust their doctors, and there is an assumption that doctor knows best since the doctor went to medical school and has a lot of training, and the patient didn't. People would rather trust the experience and professional opinion of their doctors than something from the Internet (even when in this case, Ariel, it's FDA info, if it's the same one you shared with our birth board, so it should be credible!).

I remember feeling extremely overwhelmed at the end of my pregnancy when I found out DS was breech, even when people on my birth board were telling me about other options to get him to turn. My doctors said, let's do a version, and that's what I did.

Anyway, my 2 cents. It's an overwhelming process and everyone wants what's best for their babies.

krazykat's picture
Joined: 08/11/07
Posts: 1143

Erin, I know it is a stressful and exciting time. I got caught up in that with DD too. DH just barely made it home for mid-tour from Iraq, and we wanted to make sure we had the baby while he was here. Now it ended up that I got an infection in my uterus (chorioamnionitis) that required induction since I was getting very sick and so was DD, but had we not had the complications, we would have induced anyways at that time. Now, I have much more experience and education under my belt. I think the thing that frustrates me the most about the whole situation is that doctors are ethically bound to practice informed consent. I think there is a BIG hole in that "informed" consent when moms are not given the full information; especially the FDA part. All I got was a "we're going to insert this pill in your cervix, and it will ripen it so that we can start pitocin soon". I was absolutely mis-lead, and totally trusted the "professionals" as I am sure that many moms do. Afterall, my own mom has a PhD in pediatric nursing, so that is the world I was raised in.

Like I said, I am normally REALLY good at just offering my support and trying to stay out of the decision-making, but Cytotec seriously scares me. I just had to get it out.

jooniper's picture
Joined: 08/27/07
Posts: 780

Yeah, I heard last night about a friend of a friend who planned an elective induction because all the birthdays in her family are on a day ending with 5 and she wanted to keep with the pattern. Something tells me that risks never factored into the convo with her OB. *sigh*

faeriecurls's picture
Joined: 06/04/08
Posts: 790

I know just what you mean. It is so frustrating to me that people just go on blind faith and put their doctors in a separate category than anyone else. DH & I were talking about it the other night (actually in relation to Cytotec after I showed him what you had posted in August) and I find it so hard to believe that someone wouldn't even ask some more questions of their doctor after being presented with that information.

TiggersMommy's picture
Joined: 02/14/10
Posts: 6043

"jooniper" wrote:

Yeah, I heard last night about a friend of a friend who planned an elective induction because all the birthdays in her family are on a day ending with 5 and she wanted to keep with the pattern. Something tells me that risks never factored into the convo with her OB. *sigh*

:eek:

I have a natural distrust of doctors. As a biology major, my undergrad classes were filled with "pre-meds" (ie students who thought they were going to get into Med School). They would openly admit that they were going into it for the prestige and the money. It really frightened me when a few of the students I'd known to get poor grades were actually accepted! Recently, I had a general practitioners ask me what I do for a living. I responded that I'm in a Genetics graduate program. He actually said, "wow, that sounds hard." Not reassuring!!!!!

krazykat's picture
Joined: 08/11/07
Posts: 1143

"faeriecurls" wrote:

I know just what you mean. It is so frustrating to me that people just go on blind faith and put their doctors in a separate category than anyone else. DH & I were talking about it the other night (actually in relation to Cytotec after I showed him what you had posted in August) and I find it so hard to believe that someone wouldn't even ask some more questions of their doctor after being presented with that information.

Exactly! I just flat out, simply didn't KNOW of any risk associated with cytotec when I allowed it. Yes, I should have read more on induction methods... I do acknowlege my responsibility in that part of it. But I was very naive... I thought they used pitocin and that was it. I WISH someone had posted on my BB at the time, so that I would have asked more questions. I understand that when it's in the heat of the moment and you've never heard anything one way or another about a drug (NOW I would certainly ask), it isn't the most important thing at the time to get all of the info you can. For me now it's hard not to be suspicious of everything like Preggo in Tucson Erin said.

rainymama's picture
Joined: 08/24/07
Posts: 409

8 weeks ago when I was offered induction, with Cytotec, I read about the dangers and so I asked about it. I was given the very unsatisfactory answer of, "Well, that's just the standard way this hospital does inductions." So then I brought up the dangers I had read about and was told that the dosages in those situations was much higher than what I would be given. Still unsatisfied. I refused the induction altogether, but I would have refused Cytotec, if induction had become necessary. Is the draw that it is easy to administer vs IV pit?

MrsMangoBabe's picture
Joined: 04/09/07
Posts: 2276

I think part of it is ease of administration, I think part may be that it achieves cervical ripening and starting contractions with one drug...? not sure. It was not brought up as an option for my induction. I was already 2cm and fully effaced, though, so I didn't need cervical ripening.

I'm currently trying to decide if I should comment on a college acquaintance talking on facebook about how she hopes her cervix makes progress by her next appointment so her doctor will agree to induce her...apparently she thinks her baby measuring big means that he is ready to be born, even though her EDD is not until the second week of August. It's her second baby.

krazykat's picture
Joined: 08/11/07
Posts: 1143

"rainymama" wrote:

8 weeks ago when I was offered induction, with Cytotec, I read about the dangers and so I asked about it. I was given the very unsatisfactory answer of, "Well, that's just the standard way this hospital does inductions." So then I brought up the dangers I had read about and was told that the dosages in those situations was much higher than what I would be given. Still unsatisfied. I refused the induction altogether, but I would have refused Cytotec, if induction had become necessary. Is the draw that it is easy to administer vs IV pit?

The very first problem I have with it, is that it is impossible to know the dose given since the pill has to be cut (often into one-fourths). It is a small pill to begin with, so imagine how inaccurate the dose is once it is cut down to a fourth.

I don't know if it is necessarily easier to administer, though I have heard of it being given orally, the typical administration is vaginally. They insert the pill into your cervix. I think it comes down to the fact that it is extremely cheap and easy to store. If my memory serves me correctly, the pills are less than $1 a piece, and then of course if you are cutting them into fourths, the typical dose would be less than 25 cents. It is also extremely fast and efficient at starting and speeding up labor (which is what is so dangerous for mom and babe). So it enables the doctor, in essence, to insert a pill in the morning and have a baby by the time he is ready to go home.

Here is the FDA warning against its use in pregnant woman if you are interested:http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm111315.htm

krazykat's picture
Joined: 08/11/07
Posts: 1143

Brittany, that is such a hard situation. From what I have noticed, it often seems that once moms are to the point of pushing their docs for inductions, they have made up their minds, and no amount of information is going to change their perspective. I wonder if her first birth was an easy, breezy induction? If it were a closer friend of mine, I might try to offer some research at least, but if it was just an acquaintance, I probably would just try to stay out of it. Or send something generic like "there is a lot of evidence that estimated size of a baby in utero are grossly inaccurate so if you want some more information, or in the very least, some natural ways to attempt induction, let me know..."

rainymama's picture
Joined: 08/24/07
Posts: 409

Where did I just hear that in Utah (I don't know where your friend is, obviously), but that in Utah there is now a "big push" to only induce when "medically necessary". Whoever I was hearing it from was disappointed about that, or they knew someone that was. Sorry about my baby brain. I wonder if that's even true, or if it was just true for their practitioner. And sorry my comment doesn't really concern cytotec.

Back to the cytotec, I can't imagine any mother reading the FDA recommendations and warnings that would actually still choose to have it. I totally agree that it is not fully-informed consent.