As a labor and delivery nurse, I take issue with Catalinotto's Viewpoint, which doesn't show a complete picture. Given malpractice lawsuits and the high degree of liability, obstetricians and obstetrics nurses are under scrutiny. Most want to ensure the safety of the women and infants they're treating. When the membranes rupture and the 24-hour limit is nearing, what other options do we have? We reposition, stop oxytocin (Pitocin and others), give the patient breaks, and do everything possible to encourage that vaginal delivery. But why not intervene when there are risks involved for the mother or infant? I do, however, agree with Caltalinotto that there is a problem with inducing patients for the sake of convenience rather than medical necessity. That might be why the number of cesarean sections is rising. I think we need to teach pregnant women more about letting the labor process start on its own.

Tracy Dobson, RN

Louisville, KY