-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: AROM vs Pit for induction From: Efrain Ramirez (eramirez@icepr.com) Tue Aug 29 20:48:32 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Caesareans on the rise again ? (long)" Previous message: Kathi Wilson: "Re: FRI. Ultrasound with sound effects (cute)" In reply to: ainsron@msn.com: "Re: AROM vs Pit for induction" Next in thread: Kathi Wilson: "Re: AROM vs Pit for induction" Unripe cervix -preinduction ripeninig with Cytotec or Prostin gel. Ripe cervix - multip - AROM - Pit Primi - I like to reach good effacement before AROM + GBS - ampicillin with or without AROM. >At Tue, 29 Aug 2000, ainsron@msn.com wrote: > >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 > -- "Do not take life too seriously. You will never get out of it alive." Marianne Williamson Next message: Efrain Ramirez: "Re: Caesareans on the rise again ? (long)" Previous message: Kathi Wilson: "Re: FRI. Ultrasound with sound effects (cute)" In reply to: ainsron@msn.com: "Re: AROM vs Pit for induction" Next in thread: Kathi Wilson: "Re: AROM vs Pit for induction"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 04:47:26 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.