Re: Active management - third stage

From: Ronald Ainsworth (ainsron@sbcglobal.net)
Thu Oct 13 00:33:44 2005


I never bolus pitocin IV. 20-40 units per liter, up to 500cc/hr if needed. I do inject the pitocin directly into umbilical veins when the 2nd stage is extended over 20-30 minutes and the placenta is not releasing. Even then I place 20 units of pitocin into 10cc of saline.

rmodugno@aol.com wrote:

-----Original Message----- From: Efrain Ramirez <eramirezt@coqui.net> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Wed, 12 Oct 2005 10:40:09 -0500 Subject: Re: Active management - third stage

.AOLPlainTextBody { margin: 0px; font-family: Tahoma, Verdana, Arial, Sans-Serif; font-size: 12px; color: #000; background-color: #fff; }.AOLPlainTextBody pre { font-size: 9pt;}.AOLInlineAttachment { margin: 10px;}.AOLAttachmentHeader { border-bottom: 2px solid #E9EAEB; background: #F9F9F9;}.AOLAttachmentHeader .Title { font: 11px Tahoma; font-weight: bold; color: #666666; background: #E9EAEB; padding: 3px 0px 1px 10px;}.AOLAttachmentHeader .FieldLabel { font: 11px Tahoma; font-weight: bold; color: #666666; padding: 1px 10px 1px 9px;}.AOLAttachmentHeader .FieldValue { font: 11px Tahoma; color: #333333;} BTW - how many of you give oxytocin in IV bolus.. there is a recentarticle stating that there is no difference in maternal hemodynamics..Ef>At Wed, 12 Oct 2005, Robert J. Carpenter, Jr. MD wrote:>>The active management of third stage actually has a controilled prospective trial in>England 12-15 years (or perhaps more now) and it had minimal downside. The blood>loss was documented to be less. I'm sure for those who have access to Cochran you>can pull it without difficulty.>>RJC>>On 12 Oct 2005 at 3:39, GA12L@aol.com wrote:> The only PPH's I have seen have>> been on women who have had syntometrine. >>>> >>>> Gail

Gail, you can't be serious?

Robert Modugno MD MBA FACOG

Marietta, GA





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