Re: iv oxytocics for induction
From: art fougner, md (evsono@pipeline.com)
Tue Nov 9 10:58:31 2004
The other advantage of amniotomy is to identify meconium.
art
At Tue, 9 Nov 2004, ainsron wrote:
>
>I think they are overstating what we all know from experience, in my hands,
>the combination of amniotomy and oxytocin when Amniotomy is a safe option,
>has always appeared to work better and quicker than either alone.
>
>Per ACOG UpToDate, February 2004, "Induction of labor: Indications,
>techniques and complications,":
>"Combined use of Amniotomy and IV oxytocin is more effective than Amniotomy
>alone. With the combined regimen, fewer women are undelivered vaginally
>after 24 hours than with amniotomy alone (RR 0.13). There are inadequate
>data to make a recommendation regarding use of Amniotomy and IV oxytocin vs.
>IV oxytocin alone. There are limited data suggesting the efficacy of
>oxytocin plus Amniotomy is similar to that of prostaglandins."
>
>They reference two articles in the Cochrane Database System: Howarth &
>Botha: Amniotomy plus IV oxytocin for induction of labour; and Bricker &
>Luckas: Amniotomy alone for induction of labour.
>
>Ronald E. Ainsworth
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr James
>Lie
>Sent: Tuesday, November 09, 2004 4:37 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: iv oxytocics for induction
>
>Can anyone help me with the reasonings of NOT using iv oxytoxics in women
>with intact membranes. I note in the RCOG guidelines that oxytoxics should
>be used in combination with amniotomy. No reasons given as to why not alone
>(say in situations when the head is high). A link to references will be
>appreciated.
>
>Dr James Lie
>The Surgery
>8 Hardie Rd
>Albany Wa 6330
>+61 8 98425900 work
>+61 8 98421900 fax
>0407 084 010 mobile
>splaz@cyllene.uwa.edu.au
--
art fougner, md
ich bin ein New Yorker
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