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Re: Pitocin and epiduralFrom: ainsron (ainsron@sbcglobal.net)Tue May 31 17:29:00 2005
I've been doing many of my own epidurals since 1975 and I have occasionally seen an episode of hyperstimulation with late decels that resolves with left side, fluid, ephedrine. It doesn't seem to make a difference if they are in spontaneous labor or augmented labor, which is why I question the recommendation to stop pitocin, are we going to also tocolyse the spontaneous labor patient? If someone is on pitocin for a dysfunctional labor and requires an epidural, and then we turn the pit off for an hour and restart it according to the usual protocol - 1-2 mu increase every 20-30 minutes, it will take another hour or longer to get them back into labor. Many labor patients are difficult to keep still when placing a spinal or epidural, but they can always be calmed down enough to safely place it, in my experience. Ron -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Tuesday, May 31, 2005 3:07 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Pitocin and epidural I talked to one of my anesthesiologist by phone and she sees no EBM to support the discontinuation of Pit - she sometimes asks for the discontinuation (few minutes in fact) if she feels the patient is restless an uncooperative because of "stronger" UC's? due to Pitocin? I'l keep picking the brains..
>At Tue, 31 May 2005, RModugno@aol.com wrote:
>I'll ask our anesthesiologists.
-- I think I will do nothing for a long time but listen, And accrue what I hear into myself...and let sounds contribute toward me.
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