Here is a link to a story about cytotec http://www.consciouswoman.org/2008/04/01/conscious-woman-of-the-month-april-2008/
I was scared shitless every time I had to administer this drug to a woman. Of course, the women were clueless (think thier docs told them the risks- don't bet on it), but I knew exactly what the risks were. The cytotec pill was cut into pieces and placed in the woman's vagina or rectum where it dissolved and caused contractions. Unlike pitocin (and I never thought I'd be complimenting pit) that we could shut off instantaneously through the IV if a problem occured, there was nothing we could really do about a dissolved pill in someone's pussy if things went bad. (We could try running sterile water up her rectum or vagina to flush it out but that was a long shot.) When I complained to my nursing supervisors about my discomfort with practices like these, I was told I had no say over how doctors practiced. If they were doing something illegal or unethical, yes, but I could not complain (well, I could, but no one was bound to listen) if I disagreed with their practice protocals.. For instance, I couldn't complain about a doctor breaking a patient's water when they were dilated to 2 (even though I knew this could lead to an unneccessary cesarean.) In fact I was told by the higher ups (whose office I was called into from time to time) that defensive practice was defensible. They actually wanted the docs to be heavy-handed to protect the hospital from liability!
Anyway, take a good look around the Conscious Woman website. I'll be doing a program with them this Fall on the topic of infant mortality and lactation. It's a really cool set up. You access programs via conference call and computer. It's actually a very intimate setting to interact with world class speakers. It's a cheaper way to get ceus than traveling to a conference but you get the same caliber of speaker.