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Re: AMOLFrom: Daniel Flaherty (drdanf@earthlink.net)Wed Apr 10 08:41:40 2002
No, labor is augmented when the patient falls off the Friedman curve, with arrest of dilatation and or descent. The Irish dosages of Pitocin are rather impressive, starting at 6 milliunits and going up by units of 6. Most folks start at 1 or 2 and go up by 1-2 units every 15-30 minutes. I think it is both the dosages and the time interval used to up the dose that leads to the 12 hour labors. We used the high dose protocols modified for us at Ben Taub in Houston, when Geff and I were residents. I don't know if they are used now. Since it was a county hospital, bed space was often a problem, and the ability to turn a labor bed over quicker was of value. We called it "spooky pit" but it did work. I don't recall any safety problems or hyperstim cases. I do recall a lot of surprise how quick some induction patients went from fingertip and high to 5cm after getting the Pit going. Dan Flaherty MD Watertown SD
> ----- Original Message ----- So, let me get this straight..........you augment with pit when the woman is in "active labor". If she's in "active labor", why the need for augmentation ? Just to speed up the labor ?
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