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Re: iv oxytocics for inductionFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue Nov 9 22:10:24 2004
At Tue, 9 Nov 2004, Dr James Lie wrote: > >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 There is absolutely no good proven reason to do this. This goes back to the heavily promoted "active management of labor" or O'Driscol approach to reduce c-section rates. I see nothing wrong with waiting 1-2 hrs after an ARM to see if labor kicks in, but the clock is running after an ARM and if there is no response I start Oxytocin. The proper management of inductions and augmentations is very poorly thought these days and is one of the contributing factors to the high c-section rates.
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Take care, John
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