The gentlebirth.org website is provided courtesy of
Ronnie Falcao, LM MS, a homebirth midwife in Mountain View, CA
An interactive resource for moms on easy steps they can take to reduce exposure to chemical toxins during pregnancy.
Other excellent resources about avoiding toxins during pregnancy
These are easy to read and understand and are beautifully presented.
PURPOSE: To provide guidelines for using low-dose pitocin to stimulate the latent phase of labor and smooth the transition into active phase labor. This is achieved by using lower doses. low-dose pitocin also seems effective for cervical/myometrial ripening.
We've used low-dose Pitocin for cervical ripening for probably 5-6 years
with varying degrees of success, we have a protocol at all of the hospitals
here that spells out procedure, essentially the mom is admitted in the
evening, has a baseline efm strip run, has an IV started and pitocin is
begun at 1mu/min and slowly advanced until mild/moderate uc's are occurring
q 3-4 min, monitors are usually left in place if the mom doesn't mind (I
usually write orders to take them off after 2 hours). She is offered Seconal
100mg po for sleep (may repeat x 1 if not asleep in 1 hour) and has vitals
and fht's (if not monitored) q 2hours while awake, if asleep is left alone,
with an unripe cervix (low Bishops score) the cervix usually softens and
begins to open, usually at 6am an exam is done and the pit is changed to
the normal dosing regimen increasing it q 15-30 min by 1-2mu/min until
uc's are q 2-3 min. With the advent of cervidil we choose one over the
other dependent upon the Bishop's score and maternal preference. According
to our policies one on one nursing is not needed until active management
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