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Re: AROM vs Pit for induction From: Joanne Bulley, MD (jbulley@cheshire.net) Tue Aug 29 21:00:13 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Vijay Vela: "Re: AROM vs Pit for induction" Previous message: Vijay Vela: "Re: LGSIL" In reply to: Caitlin Cusack MD: "AROM vs Pit for induction" Next in thread: Vijay Vela: "Re: AROM vs Pit for induction" I was always a proponent of AROM ASAP - before Pit if everything was favorable. then I had a G4P3 woman at 3-4 cm - and the head *seemed* to be against the cervix... So ... AROM and in under 10 minutes there was this deceleration - and yes, indeed, I had a cord prolapse. As I was sectioning this multip because I did the AROM - I got a bit scared off. So I went back to - more often than not - waiting to AROM until there were contractions & I could do it during a contraction. So - if real certain of the stability of the station - then AROM, wait 1-2 hours and start Pit if needed, or start Pit, AROM as soon as contractions begin - and back off on the Pit in most cases... Joanne At Sun, 27 Aug 2000, Caitlin Cusack MD 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 > -- Joanne Bulley, MD Keene, NH, USA Next message: Vijay Vela: "Re: AROM vs Pit for induction" Previous message: Vijay Vela: "Re: LGSIL" In reply to: Caitlin Cusack MD: "AROM vs Pit for induction" Next in thread: Vijay Vela: "Re: AROM vs Pit for induction"

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