Last week I had a pt in pre-term labor at about 32 weeks. She had some pre-term contractions a few weeks before was given celestone and put on bed-rest, but this time it was the real deal. She was already 4 cm dilated. So her OB decided to let it happen.
But then he comes in and breaks her water!! Doesn't that just seem wrong?! It's one thing to let it happen, but to hurry it along?! And now she's committed to delivery that day, whereas if we'd left her alone there was a small chance her contractions could have spaced out or tapered off, buying her a few more days.
Then, when her contractions did space out, after her epidural, he ordered pitocin!! Also sick. I went to my charge nurse and the residents but they all said to just give it cause there's no arguing with this OB, he does whatever he wants. Plus the real problem was the AROM and now that she's ruptured we had to deliver her before she got an infection.
I gave the pit, but she only needed 2 mu and delivered a couple hours later. So it likely would have happened that day anyway.
17 years ago I had PROM at 33 1/2 weeks followed by spontaneous labor a couple of hours later. Doc did everything he could to hold off delivery and buy my daughter even just one extra day to let her lungs mature, meds to stop/slow down labor were given along with a steroid to help my daughters lungs get a "jolt" into maturing just a bit more. I can't imagine my doc WANTING to get the baby delivered any sooner than nature intended. They were montering my temp and CBC to make sure infection hadn't set in, but she was delivered 20 hours after the PROM. Happy to say her lungs were great, she breathed on her own and kept her sats up. she was dc'd 7 days later and now is a healthy happy 17 yr old with NO physical problems from her early delivery. I have to wonder, if my doc was of the mindset of the OP's doc, would my daughter had faired so well.
I'm no expert, I'm just an LPN but I totally disagree with what the doc did!
CT Pixie, BSN, RN
3,723 Posts
17 years ago I had PROM at 33 1/2 weeks followed by spontaneous labor a couple of hours later. Doc did everything he could to hold off delivery and buy my daughter even just one extra day to let her lungs mature, meds to stop/slow down labor were given along with a steroid to help my daughters lungs get a "jolt" into maturing just a bit more. I can't imagine my doc WANTING to get the baby delivered any sooner than nature intended. They were montering my temp and CBC to make sure infection hadn't set in, but she was delivered 20 hours after the PROM. Happy to say her lungs were great, she breathed on her own and kept her sats up. she was dc'd 7 days later and now is a healthy happy 17 yr old with NO physical problems from her early delivery. I have to wonder, if my doc was of the mindset of the OP's doc, would my daughter had faired so well.
I'm no expert, I'm just an LPN but I totally disagree with what the doc did!