Re: AROM vs Pit for induction

From: Larry Glazerman (l.glazerman@rcn.com)
Tue Aug 29 14:33:59 2000


The only time I'll use pit with intact membranes is if the membranes can't be ruptured easily or safely (too high, not dilated enough), OR in the situation where I'm not absolutely committed to the induction (go ahead, flame all you want)!!

At 01:32 PM 08/29/2000 -0500, you wrote:

>Does pitocin work with intact membranes...........?
>Viv
>
>Larry Glazerman wrote:
>
> > My practice is pretty similar, although I'll often start pitocin right
> > away, even in the multip.
> >
> > At 03:31 PM 8/27/00 -0500, you wrote:
> > >How many initiate induction w/ ARM vs oxytocin (in the presence of a
> > >ripe cervix, of course)?
> > >
> > >I'm always struck by the fact that once I'm able to AROM someone I'm
> > >virtually always able to get them into labor. So I AROM when able. When
> > >starting an induction I'll AROM the primips with favorable cervixs and
> > >start them right away on pitocin; the multips I AROM and wait one to two
> > >hours to start pit. If I MUST induce someone without a favorable cervix
> > >I'll use cytotec.
> > >
> > >--
> > >Cait Cusack





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