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Re: Pitocin given after delivery -- Seeking more information
From: Olivia (anonymous@obgyn.net)
Sun, 21 Nov 1999 01:00:46 -0600 (CST)
At Sat, 20 Nov 1999, Harvey S. Marchbein, M.D. wrote:
>
>At Fri, 19 Nov 1999, Marshella wrote:
>>
>>Hi Vicki,
>>
>>Thanks so much for your opinion! I'm also anxiously awaiting the
>I am interested to hear of the strong anti invention opinions of some people. While unnecessary intervention is to be frowned upon there is no doubt it sometimes saves lives. My friend during delivery of her first baby was strongly against receiving oxytocin to expel the placenta. Unfortunately the doctor tugged on the cord and inverted (turned inside out) her uterus. She was in ICU for five days required emergency surgery and lost an amazing amount of blood. The OB said when he got the call at home he drove so fast to the hospital on the wrong side of the road - he had only ever seen it once before in Africa. So you know it doesn't pay to be too sure of yourself and to keep an open mind about intervention. Sometimes there are even doctors we can trust!!!
Olivia
>doctors' replies but I did ask for non medical opinions as well and
>>value them just as highly and am so glad you took the time to express
>>yours. It is very similar to mine, which reinforces my feelings, to
>>know others think and feel the same. Have you yourself had experience
>>with being given or not being given pitocin after birth? If you weren't
>>given it, did you hemorrage or bleed excessively?
>>Anyone else?
>>
>>I'm also curious (another question for the doctors or anyone with
>>information believed to be true and accurate), will pitocin have any
>>effect on bleeding from cervical tears or other lacerations not
>>pertaining to the placenta?
>
>No effect. Pitocin causes contractions of the uterine wall (actually 3
>muscle layers going in different directions) so when the 3 layers
>contract, they clamp down on the blood vessels that were formerly going
>to the placenta. Some of those vessels can be 1/3 inch in size.
>
>>I would doubt it and also question what
>>number of after-birth hemorrages are caused by factors other than
>>placental related.
>
>Most hemorrahges are due to the area of the placental bed. It is the
>exception to have hemorrhage from the cervix, although it is certainly
>possible.
>
>>--
>>Marshella (edd #1, boy, 2/10/00)
>>
>>At Thu, 18 Nov 1999, vicki wrote:
>>>
>>>hello.
>>>
>>>first let me say that i am not a doctor, but a midwifery student. i
>>>also happen to be very noninterventionist. in my humble opinion, one
>>>shouldnt take any medication unles it is absolutely warranted. (such is
>>>the case with rhogam in a rh negative woman with a positive father -
>>>medication that really needs to be given BEFORE symptoms begin) your
>>>chances of hemorrhage are much much lower when the placenta is alllowed
>>>to deliver on its own without the doctor tugging on the cord. i have no
>>>clue whether that is still a common practice or not. i do not believe
>>>the chances of hemmorrhage are terribly high. but hopefully dr.
>>>marchbein can give us some stats on that one. i, personally would
>>>choose not to have pit as a routine measure. but that is a decision you
>>>must make after learning all the pros and cons. i am sincerely hoping
>>>dr. marchbein will reply to your post as i value his opinion and he
>>>appears to be very aware of what the current literature says about these
>>>things.
>>>
>>>--
>>>vicki
>>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
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