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Re: Pitocin and epiduralFrom: ainsron (ainsron@sbcglobal.net)Tue May 31 15:45:54 2005
The woman's perspective has nothing to do with the question I asked. It is always the woman's choice whether or not to have an epidural if it is medically safe and the appropriate time in her labor. However, since when is the decision to start or discontinue oxytocin the woman's choice?? It is a medical decision based on the strength and frequency of her contractions and lack of progress. I guess she can tell me to not start the pitocin or discontinue it if she prefers a cesarean section. The question I posted had nothing to do with this little aside or whose time we are wasting. What I want to know is the list member's opinion on this question: Is there EBM that supports my anesthesiologist's assertion that standard of care in 2005 is that pitocin should be turned off before he can start an epidural and for 30 minutes after the epidural has setup? -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of GA12L@aol.com Sent: Tuesday, May 31, 2005 1:16 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Pitocin and epidural Think about it from the woman's perspective. If she wants an epidural because the pitocin, or syntocinon as we have here in the uk, is making her contract so strongly she needs and wants an epidural then turning it off is the kindess thing for her. Also with it switched off she might be better able to keep still when not contracting so strongly for the epi to be sited. Give the woman the choice after all it's her decision, isn't it? And whose waste of time are we talking about here? By the way, what does an anaesthetist know about obstetrics? Gail
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