"upping the pit" with regular ctx's

[emilyriv34rn]

Ok guys... gota question for y'all. I've tried searching the web and unsuccessfull to find an answer. Maybe someone has a link for me or personal knowledge to help.

I've been an RN for 13 yrs, but new to L&D. Our hospital protocal for pitocin is to start at 2mu/min and increase every 15 mins till ctx's are 2-4 mins apart and lasting 40-60 seconds. And of course watching fhr patterns and altering care accordingly. My concern is md's that are pressuring me to increase pitocin infusions despite ctx. that are 1-2,3 minutes apart and of course lasting long enough. I guess i'm still finding it difficult to determine strength of ctx's at time by palpation and that of course i think is somewhat subjective from nurse to nurse or nurse to dr. I am finding it very scary and to increase pitocin infusions when drs are pressuring me. what do you all think? HEEEEEEEEEEELP!!!!!!!!

[finallyRN]

We have low dose and high dose pit inductions. With the low dose we up 1 every 15 mins. With the high dose we up 4-6 every 30 minutes. I find that the low dose actually works better than the high dose.