I wanted to see your opinions on this matter. I had a pt last night that was a G1P0 at 41 wks being induced for oligo, the order was prostin gel x2 then pitocin in the AM, well right off the bat, just about every ctx yielded a late d-cel, HOWEVER, IVF bolus and turning the pt resolved the lates for a period of time, of course I contacted the dr, and we switched from the prostin induction after washing it out to low-dose pit, the pattern resolved, had excellent reactivity and average variablity, the pt was not favorable in the least, 2/20/-3 SO, after a while the lates came back, IVF bolus PIT Off, and turning the pt, they resolved, called the dr again, she came and looked at the pattern it was GREAT, after a while, AGAIN with the lates, all the while having average variability responded to scalp stim, etc......I dealt with this pattern all night long, never turning the pit back on knowing full well she'd be cut in the AM. So i left around 7:30am after giving report and came back the next night to see what happened, she continued having lates off and on throughout the am and about 9 they made the decision to proceed with the section, apgars 2,8. and that night baby went to NICU for fast breathing, and a gunky looking x-ray, mom was GBS pos, treated with AB's, and light mec noted at delivery, ANYWAY, it was just a very strange questionable pattern that gave me a headache and I charted my butt off all night long, meanwhile trying to reassure the mom and family about what was going on and warning them about needing a c-section.....I doubt doing the c-section would have made a difference earlier, but still makes ya wonder....it wasn't the kind of pattern that needed immediate c-section, but still....anway, what do you all think?? Shelley
