birdsnbees

I wrote to ACOG and asked them about Pitocin titration and how much they recommend. They sent me a number of their bulletin's etc, and they don't give a high number recommendation. They do say that you are more likely to see side effects if you go above 40mu. They do talk about the high and low dosage which is as follows: Low: 0.5-1 increase by 1 every 30-40 min OR 1-2 increase by 2 every 15 min High: 6 increase by 6 every 15 min OR 6 increase by 6,3,1 every 20-40 min *page 6 of ACOG Practice Bulletin #10, Nov 1999

Thank you to everyone who has shared their Pitocin protocols and experiences. I've written to ACOG and asked about their recommendation. They say they will send me information about inductions, but I'm still waiting for them to do that. If I hear from them, I'll share.

Wow, I'd love it if you found that information!

Thanks for your comments, I really appreciate it. So 40 is as high as anyone has mentioned here so far. It seems like these people do often deliver.....the ones at 50+ mu, but I think if the pit was off, they would probably still deliver. Just my opinion. Another thing is though, it seems like I see more decels, and I'm wondering if it's related to the high rates of pit. I would think receptors would be saturated long before 50 mu's is reached, yet these women often do look hyperstimulated to me, and though the decels are variable in nature, there are often a lot of them, and they are deep. This is just not ok with me. There is nothing in our orders or in the protocol that gives a top number of pitocin titration. I'm feeling uncomfortable with all this.

I've been a labor nurse for a long time now and worked in a few ob units, and up until now I've seen Pitocin run up to 20 mu/min, and occasionally with a doctors order, up to 25 mu/min. I've recently started working in a unit where they routinly titrate up to 50 and 60 and even higher during a routine induction of labor. I've looked on line trying to find safe titration levels but so far I have not found info in this. Has anyone ever run Pitocin at these doses?