this makes me sick

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.

But the whole thing just made me angry....