Quote from PattonD
The membranes had been ruptured for approx 1 hr. with a dialation of 1.
I guess what I am trying to find out is should pit be started slow, fast, or not at all?
With what Jolie said I think C/S would be the safest option for the baby ....but maybe not for the mom...
Man, ya'lls profession is crazy confusing. Seems like every patient is or has the potential to be like an ER/ICU situation. On top of that its like seperating siamese twins and hoping both survive. Wifey says that most laypeople see having a baby as a joyus occasion but she sees it as a very risky and extremely dangerous process.
Wow what drasticly different view points patients & family have from reality!
With the limited information provided, I believe the patient's care was appropriate. With a dilation of 1cm, it is likely that the patient would have labored for a prolonged period of time (12-24 hours) before delivering her baby. The use of pitocin to augment her labor seems appropriate to increase the likelihood that she would deliver in 12 hours or less to minimize the risk of baby's exposure to strep, while still providing adequate time for mother to receive IV antibiotics prior to delivery.
Your question about starting "pit slow, fast, or not at all" puzzles me. Pit is not given "faster" to bring about a faster delivery. Pit dosing is based on mother's and baby's tolerance of the drug, not how fast mom dilates. You would not increase the rate of pit infusion to speed up dilation.
C-section is not necessarily the best option for a baby exposed to strep. If membranes have not been ruptured for a prolonged period of time, mom is not exhibiting any s/s of infection, and baby appears to be tolerating labor, it is safer to allow labor to continue. C-sections carry risk for the baby that many people overlook. Babies born by C-section are at risk for breathing problems, so unless there is a compelling reason for a C-section (such as prolonged rupture of membranes, maternal temp, abnormal CBC, fetal tachycardia, or non-reassuring fetal heart rate pattern), it is probably better from the baby's standpoint to allow a vaginal delivery.
I'm sorry that your wife views labor and delivery as very risky and extremely dangerous. It is vital that L&D nurses be prepared for emergencies, but also crucial to recognize that birth is a natural experience that most women are able to facilitate without complications.