Quick question regarding pitocin...

Specialties Ob/Gyn

Published

Hi there,

For years we have not refrigerated routinely vials of pit that we use in delivery or birthing rooms because they get used up so quickly. At various times we have refrigerated them if they were in packs until we used them or restocked rooms..There has never been a problem as far as I know.

Recently had some premixed pit in saline that is in our pxyis...It does not seem to work as well at all to the point where we have changed the bag and tubing and put our own pit in fresh IVs only to find that works much better. Recent conferences ( Murray) suggest that those premixed pit bags be refrigerated vs being in the pxyis. We can't get pharmacists to agree. Wondering what various policies are amongst all you people out there. Please feel free to share.

Specializes in L&D.

We have just started using premixed pitocin bags from an outside source (yesterday they were stocked on our unit). After reading about others' experiences with premixed pitocin, I'm very wary of the potency and stability of the bags. Until now, I have always mixed my own pit for deliveries and inductions, so this is going to definitely be a big change to get used to.

I have almost always had premixed magnesium sulfate bags though, at both facilities were I have worked. So I really can't gauge whether mixing my own versus premixed is any better or worse with magnesium.

I have yet to use the premixed pit bags - I'm sure I will soon though. I go back in to work tonight :-)

Specializes in Behavioral Health.

We have been using the premixed bags of Pitocin for several months now. We have 20 units in 1L of NS and 40 units in 500cc and they are REFRIGERATED. This is usually not a problem for an all day induction, but I hate the idea of running it in fast and ice cold when the doc wants them bolused after delivery.

We still have 10 unit vials in our "tool box" for IM or emergency situations.

It has worked out okay, but admittedly, I have changed bags wondering if the pharmacy made a mistake and didn't add the pit!!!!

:rolleyes:

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