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Re: AROM vs Pit for inductionFrom: ainsron@msn.comTue Aug 29 15:29:35 2000
My practice patterns are very similar. I see no benefit using cytotec for a patient with a ripe cervix. I'll usually wait 2-4 hours after amniotomy to start pitocin. Sometimes I'll start the pit first then do the amniotomy once contractions pickup, usually only if the head is higher than I feel comfortable and not well applied to the cervix. >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 >
-- Ronald E. Ainsworth, MD
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