Cervix Ripening
•Dinoprostone (Cervidil)
oTo end pregnancy/ Cervical
ripening
oContra- oxytocin drugs, hx
cesarean sec<on or uterine
surgery, vaginal bleeding
•Misoprostol (Cytotec)- for induce
labor (sm. doses)/ PP hemorrhage
(rectally)
o3 or 4 doses might be PO for
induce labor
oNot lubricate rectally bc
delays absorp<on
•Dinoprostone (Cervidil)
oEndometrial gel
o Severe abd pain; passing out
Stop bleeding
•Tranexamic Acid
oUsing PP treatment
oStart treatment within 3 hrs
oBe careful previous bleeding;
GI hemorrhage
oAbd pain, N/V
•Methyleronovine (Methergine)
oNot given w/ BP’ med (HTN)
oIV only for life-threatening
oUses aSer deliveries placenta
o Cause severe dizziness
•Carboprost (hemabate)
oDon’t give to asthma pts
oControl PP bleeding
oGiven aSer birth or an
abor<on
oNo<fy PCP if chills, vaginal
discharge or increase
bleeding
• Oxytocin (Pitocin)
oInduc<on labor/PP
oPP give IM 10 units aSer
deliver placenta
oContra uterine rupture;
thromboplas<n (reten<on of
dead uterus)
oSED- Abnormal HR, abd pain,
dizziness
Stop contrac4ons
•Terbutaline (Brethine)
oDon’t give it if tremors occur
or Tachycardia; chest pain,
SOB
oSub Q
•Magnesium Sulfate
oControl seizures
oAvoid using > 5-7 days
oMonitor magnesium levels
•Nifedipine (Procardia)
oCalcium channel blockers
oFor Hypertensive emergency
to decrease BP
oSE- anxiety, SOB, severe
cons<pa<on (stay hydrated)
Analgesic/ For pain
•Demoplast
oTopical decrease pain aSer
birth
oReducing pain or itching aSer
vaginal birth
oAssess butning or itching
•Butopharnol (Stadol)
oInfec<on only
oOpioids
oSE- fa<gue SOB, cons<pa<on
•Morphine (Nubain)
oIM, IV (maximum dose 20mg)
oCareful w/ respiratory
depression
Meds for Babies
•Erythromycin- prevent eye infec<on
