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Re: 41 week InductionFrom: Cheri Van Hoover (cherivh@xdcr.com)Sun Dec 4 23:01:33 2005
Raymond Stephen wrote: > For this > reason I have always been unhappy with those who come in and niggle, and > would rather see them augmented. I like to see those who niggle in latent phase (>20 hours in primip) given therapeutic rest with morphine for a diagnosis of prolonged prodromal labor. In my experience, they tend to follow the rule of thirds. One third will awake in active labor, 4-5 cm. dilated, and progress normally without further intervention. One third will awake no longer in labor at all and can comfortably await the onset of effective labor. One third will continue to niggle. These are the ones I would augment, now that they've had a good sleep and are ready to approach labor well rested. Cheri
-- Cheri Van Hoover, CNM, MS Faculty, Midwifery Institute at Philadelphia University Port Hadlock, WA
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