Re: low dose pitocin

From: dahmd@gate.net
Wed Jul 17 22:34:52 1996


>Richard Lowensohn wrote:
>> I have a hard time understanding why you would feel
>>comfortable doing this without monitors and nurses if you recognize their
>>need during inductions in general.

Jason Gardosi responded: snip >The dosages may have been different, but uterine and fetal responses vary a
>lot too. Oxytcocin can be a dangerous drug if not used with caution.

Having seen tetany and prolonged decelerations with low doses of oxytocin, it does seem unwise to give it without some type of fetal monitoring. I can see the evil personal injury lawyers having a field day if their was a "bad outcome" using this regimen without monitoring.

To quote a former professor of mine, William O'Brien: "Oxytocin is the most dangerous drug in Obstetrics". I suspect he was mostly talking about its use for unindicated inductions, but I think using it without monitoring also falls into this category.

Ashley Hill D. Ashley Hill, M.D. Orlando, FL dahmd@gate.net





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