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Pitocin and epiduralFrom: Dr. Ainsworth (ainsron@sbcglobal.net)Tue May 31 13:43:35 2005
One of our anesthesiologists recently began requiring that pitocin be turned off prior to placement of an epidural and not restarted until 30 minutes after onset of analgesia due to risk of hypertonic contractions and fetal bradycardia. Does anyone have any references to support that practice? To me, it seems like a waste of time, as many of these patients are on pitocin at maximal doses and to have to restart it and go back up per protocol is time-consuming.
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