WOMENS-HEALTH Messages for May, 2000: Re: Painless Contractions??

Re: Painless Contractions??

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 21 May 2000 20:33:53 -0500 (CDT)

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At Sun, 21 May 2000, anonymous@obgyn.net wrote: >
>At Wed, 10 May 2000, Robin wrote:
>>
>>At Wed, 10 May 2000, Lisa wrote:
>
><snip>
>
>>>only to find out that I was 8 centimeters,
>>>it was 7:30PM and I deleiverd my daughter at 9:51PM. My contractions
>>>were registering on the monitor and I still did not feel anything, the
>>>doctor broke my water and gave me Pitocin, I felt a few twinges and then
>>>about 4 really bad contractions and it was time to push!
>
><snip>
>>>Lisa Martin
>>
>>Lisa,
>>
>>My best friend dilated to six centimeters as well without knowing it.
>>She went to the Dr. for her weekly checkup and the Dr. sent her
>>directly to the hospital (this was around 5:30pm). She was admitted
>>around 6:00pm, and delivered two hours later. Had very little pain once
>>they broke the water and gave her pitocin. She too said she had a few
>>bad contractions, but overall, it was nothing.
>
><snip>
>>Robin
>>
>Can anyone explain to me what the thinking is behind AROM and Pitocin
>use in cases like this? I can't see the sense in it. *Maybe* the AROM
>if the bag of waters was getting in the way of descent, but the Pitocin
>just doesn't make sense to me at all. If it ain't broke, why fix it?
>
>--Helen

Helen I have not read the whole thread, but I presume you are talking about early delivery. Every MD feels differently about ROM. I will usually leave them intact as long as possible in order to cushion the fetus, but there are times where you feel the baby needs out and ROM is felt to hasten that. Pitocin is more of the same, once the decision is made to deliver, we feel the baby is better off in the hands of the NICU, so pitocin can augment the contractions. Hope this helps.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

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