I am trying to find references for guidelines on what the upper limit of pitocin is for both scarred and unscarred uterus's. It is not unusual to run pitocin at more than 50-60 milliunits even on VBACs and without IUPCs. This scares the hell out of many of us, but God forbid we don't increase it at the ordered intervals, turn it down or even off!! Despite what is going on with the strip, we can be (and have been) chewed out by a doctor for not turning the pitocin up on schedule. Notice it is "a" doctor.
I am trying to gather amunition to go to the nurse manager with so we can get administration's backing on putting a limit on how high we can run pitocin. I would really love it if I could get access to those references online, but any guidance would be greatly appreciated.
Heather