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Re: Mag Sulfate and PitocinFrom: Angela (anonymous@obgyn.net)Thu, 19 Oct 2000 23:25:50 -0500 (CDT)
At Wed, 18 Oct 2000, anonymous@obgyn.net wrote: > >At Tue, 17 Oct 2000, Tammy wrote: >> >>I was given Mag Sulfate 5 days prior to my due date. I had gone in for >>my last regular check up and my blood pressure was high (I'm not sure of >>the number s but this was a single incident through the pregnancy) I >>had, however, been spilling proteins in my urine most of my pregnancy >>and had extreme edema. Based on this they determined I needed to be >>induced.. The put me on the Mag Sulfate and a few hours later Pitocin. >>After 16 hours of both (with the Pitocin drip taken higher than the >>normal dosage) I had still not produced any contractions nor any >>movement of my cervix. They decided to transfer me to another hospital. >>This hospital gave me a few hour break from both meds and then put me >>back on the Pitocin for another 8 or so hours, again with no results >>(I'm not sure If I was back on MS at this time or not). The 2nd >>hospital had mentioned they did not feel the first had done everything >>possible to help me into labor. But the only thing they mentioned our >>right was hospital #1 had not put anything gel on my cervix to soften >>it. >>I would up having a C-section 44 hours after being admitted to the first >>hospital. I have never felt comfortable with the entire process I went >>through. This past weekend I talked with a friend who said they gave >>her Mag Sulfate to STOP her contractions. >> >>Was I wrongly medicated by attempting to induce labor while on Mag >>Sulfate??? I have always felt like I failed at something that women >>throughout time have been able to accomplish. It has been two years >>since the birth of my son, but I'm pregnant again now and I don't want a >>repeat. I don't even live in the same state anymore, but if the >>hospital and doctors caused me an unnecessary C-section, and a prolonged >>hospital stay (which I had to pay for a % of) …then I will take action. >>Any advice would be greatly appreciated!!! >>Tammy > >There is certainly no failure involved on your part, nor, I suspect on >the part of your caregivers. MgSO4 (Mag sulfate) is used for two very >important purposes in OB. It is used very commonly as an agent to stop >preterm labor. It works as well as anything else, but there are several >other choices to use in that situation. It is also used to prevent >seizures in women such as yourself, who have Pregnancy Induced >Hypertension (aka pre-eclampsia). It is the absolutely best medicine >for this purpose, and you are fortunate that you were given it. > >You, and your doctors, were in a very tough spot that day. You had a >terrible, and progressive complication of your pregnancy that posed a >serious threat not only to your baby, but also to you. You HAD to be >delivered, no ifs ands or buts, and soon. Unfortunately, your cervix >was not yet ready to dilate, your uterus not yet ready to push the baby >out. The C/S rate in this circumstance is way over 50% in any hospital >in the country, but it is either bite the bullet and do what has to be >done, or watch the mother and baby go down the tubes. > >Now, we can argue over which of about 10 different induction protocols >might be the most optimal, but that is really a matter of personal >opinion, and everyone has an opinion. I may or may not have done it >differently from your doc at the time, but I was not there, and it would >appear that he/she picked a standard and highly successful protocol, and >did their best. > >Hopefully, you will be able to have a VBAC this time, and you will not >have a repeat of your problems with PIH. But the fact is, there is >every probability that the care you got the last time saved your life, >and the life of your child. You were sick. > >-- >William D. McIntosh, MD, FACOG >Clarksville, TN > >This is for educational purposes only, and is not intended to be replacement >or substitute for consultation and examination by an appropriate medical >professional. Due to time constraints, private e-mails cannot be answered. > I understand that the induction was a necessity, but, didn't they give her too much pitocin for too long? If you don't receive a break from the pitocin after 12 hours your uterus can become saturated therefore not producing adequate contractions. Resulting in c-section and risking p/p hemorrhage, etc. Isn't this correct? I was wondering about your answer...because this is what happened to me. They kept me on pitocin for 16+ hours, resulting in a c-section, p/p hemorrhage and a hysterectomy followed by 9 units of blood with my first baby at the age of 24. A woman 2 weeks before died of the same thing. Pitocin can be very dangerous when given for that length of time and that amount, don't you think? Do you think that you can receive too much pitocin?
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