Often used to induce or speed up labor (after consent from the mom-to-be), Pitocin (oxytocin) is more and more routinely being used after delivery, sometimes without explanation or discussion. So what is the purpose of Pitocin post delivery? And more important, what are the pros and cons of this
drug's use?
Pitocin is a synthetic form of oxytocin, a natural hormone produced by a woman's body, which causes uterine contractions. When used after delivery – given by IV or injection – the purpose most often is to prevent or stop postpartum hemorrhaging.
Pitocin is a synthetic form of oxytocin, a natural hormone produced by a woman's body, |
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"Postpartum hemorrhage occurs in about 4 percent of low-risk births and up to 18 percent of all births," says Cathy Collins-Fulea, a certified nurse midwife, Division Head Midwifery, Henry Ford Health System, Detroit, Mich. "Standard treatment of postpartum hemorrhage includes uterine massage and medication to contract the uterus. The first drug of choice for treatment of postpartum hemorrhage is Pitocin. It is common for treatments that are lifesaving for some women to become routine for all women in the hope of preventing a few from developing the complication."
According to Collins-Fulea, postpartum hemorrhage is defined as blood loss greater than 500 ml after vaginal delivery and greater than 1,000 ml after a Cesarean delivery. Postpartum hemorrhage is most commonly caused by uterine atony, when the uterus is relaxed instead of contracting back to size. In cases like this, Pitocin can actually be a lifesaver.
I was wondering about pitocin after delivery. Never thought it was something that was up to me. Got something to think about now. Will have to take this information and talk with friends who have been through labor and delivery already.
I just had my second grandchild in the last 3 months and both were most unpleasant experiences. The latest little fellow came with great distress after my daughter in law was convinced about the safety of pitocin and that her :favorite OB" would not be available if the baby came on the weekend. So she had labor induced and had the baby after 14 hours of pitocin, a baby with a bruise on his head and who had trouble breathing (normal the dr. said), a placenta that was manually moved in 3 ! pieces, and a rip all the way to the rectum, not to mention excruciating pain.The lovely sparkling mother to be was now a worn out, drugged, startled, yet happy to have a baby boy mom. It is so unfortunate that we have allowed drs. to convince women that pitocin is a welcome thing to use! Many health and safety issues the mom and baby endure are quickly forgotten, as the euphoria of having baby takes over. The OB is counting on this. It may go fine for many, but, I would not want to be those that it has caused multiple problems for...and this is just a minute "highlight "of this beautiful mom's labor and delivery. Hopefully more moms to be will actively educate themselves and not be pressured into these unfortunate situations.
I had a similar experience. Was given Pitocin without my consent. Could not take the pain and asked them to take it out of my IV. The nurses were not too happy, but it's not their body. We should be talked with about this beforehand. They wouldn't give us Demerol without our consent, now would they? What's the difference?
When my third baby was born, I remember laying in bed after my c-section delivery in such pain. I couldn't even visit with my family. Was told it was the pitocin, which I had not been asked about at all before given. I told them to remove it from my IV. My uterus shrunk down fine on its own. I do think this is something that should be discussed first with the patient. Great article.
For both of my sons, I once not asked once about pitocin being given. The nurses came in and started adding it on the IV when I asked what it was and why was it needed. They were rather flippant with the response with "It's just pitocin. Everyone gets it." I had already researched it and was OK with it BUT not all patients would have even thought to ask given the circumstances.
In my humble opinion, I feel that doctor's push it so they don't have to come in at 2 in the morning to deliver a baby. It's easier to "schedule" the time if they can force the body to speed up. For both of mine, I delivered by 5:30 p.m. that evening and, if it looked like it wasn't going fast enough, the pitocin drip was increased to ensure the time was met.
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