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Pitocin and an unripe cervix

From: heather (anonymous@obgyn.net)
Sun, 21 Nov 1999 19:39:38 -0600 (CST)


I am a doula and this is what happened at a recent birth. The womans water broke at 40 weeks +2 days so she went to the hospital to confirm that it was amniotic fluid. it was and they admitted her, although she was not feeling contractions(they were registering on the EFM regularly) and her cervix was closed and not effaced. She was immediately was put on Pitocin and 20 hours later was only a fingertip and maybe 60% effaced. Of course she had a c-sec. My questions are: could a prostaglandin gel be used even though her water broke? i think i have seen info that it can. Pitocin doesnt ripen the cervix, correct? The risk of infection increases with manual exams. The doctor examined her several times. I dont think this birth was managed very well by the medical staff. please help me understand what happened.

--
doula



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