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Re: AROM vs Pit for induction From: Vivienne Souter (viv@seaultrasound.com) Tue Aug 29 18:57:49 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: eugene jursek: "Re: Dr. Sidney Wolfe" Previous message: Vivienne Souter: "Re: AROM vs Pit for induction" Maybe in reply to: Caitlin Cusack MD: "AROM vs Pit for induction" Next in thread: Joanne Bulley, MD: "Re: AROM vs Pit for induction" Larry I am uncertain why anyone would flame you for this. Surely induction is accelerated by AROM in conjunction with pitocin (PG's released potentiating the action of pitocin on the uterus). Granted, contractions may be more painful for the patient after AROM but I'm not sure why anyone would want to induce labour slowly as opposed to efficiently. AROM does commit you to delivering the patient but in most cases, shouldn't patients only be induced when the indication for induction is strong enough that the doctor would be prepared to perform a Caesarean should the induction fail? Viv Larry Glazerman wrote: > 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 Next message: eugene jursek: "Re: Dr. Sidney Wolfe" Previous message: Vivienne Souter: "Re: AROM vs Pit for induction" Maybe in reply to: Caitlin Cusack MD: "AROM vs Pit for induction" Next in thread: Joanne Bulley, MD: "Re: AROM vs Pit for induction"

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